Individual
YOHANNES ALI BELACHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3490 CLAIRMONT RD NE, ATLANTA, GA 30319-3758
(404) 477-1218
(404) 477-1219
Mailing address
3490 CLAIRMONT RD NE, ATLANTA, GA 30319-3758
(404) 477-1218
(404) 477-1219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11SCDDC
PIN
GA
Enumeration date
08/26/2005
Last updated
07/08/2007
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