| Memorial Drive Family Medicine P.c | |
|
4958 Memorial Dr Stone Mountain GA 30083-4148 | |
| (404) 809-2480 | |
| (404) 809-2485 |
| Full Name | Memorial Drive Family Medicine P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 4958 Memorial Dr, Stone Mountain, Georgia |
| Authorized Official Name and Position | Tassew Tesfaye (MEDICAL DOCTOR) |
| Authorized Official Contact | 4048092480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Drive Family Medicine P.c 4958 Memorial Dr Stone Mountain GA 30083-4148 Ph: (404) 809-2480 | Memorial Drive Family Medicine P.c 4958 Memorial Dr Stone Mountain GA 30083-4148 Ph: (404) 809-2480 |
| NPI Number | 1285994251 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 07/12/2012 |
| Medicare PECOS PAC ID | 3577727213 |
|---|---|
| Medicare Enrollment ID | O20120611000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285994251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tassew Tesfaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710974696 PECOS PAC ID: 1759286784 Enrollment ID: I20031203000595 |
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Salam Clinic Primary And Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5468 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-963-2142 Fax: 404-963-2098 | |
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Mercy Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Linsley Way, Stone Mountain, GA 30087 Phone: 404-933-8501 | |
Hope Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr, Suite 110-112, Stone Mountain, GA 30083 Phone: 678-704-0306 Fax: 678-704-0706 | |
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