Individual
MENGISTU BERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3902
TN
207R00000X
Internal Medicine Physician
95895
GA
208M00000X
Hospitalist Physician
Primary
95895
GA
Other
Enumeration date
05/11/2012
Last updated
08/07/2023
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