| Tesfaye D Fanta Md Pllc | |
|
910 W Harrison St Reidsville NC 27320-3324 | |
| (336) 342-9564 | |
| (336) 349-9723 |
| Full Name | Tesfaye D Fanta Md Pllc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 910 W Harrison St, Reidsville, North Carolina |
| Authorized Official Name and Position | Tesfaye Demissie Fanta (OWNER) |
| Authorized Official Contact | 3363429564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tesfaye D Fanta Md Pllc 910 W Harrison St Reidsville NC 27320-3324 Ph: (336) 342-9564 | Tesfaye D Fanta Md Pllc 910 W Harrison St Reidsville NC 27320-3324 Ph: (336) 342-9564 |
| NPI Number | 1033489216 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033489216 | NPI | - | NPPES |
| 891066A | Medicaid | NC | |
| 1522X | Other | NC | BCBS |
| 1066A | Other | NC | BCBS |
| 5911977 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 200900231 (North Carolina) | Primary |
Zack Hall, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Turner Dr Ste F, Reidsville, NC 27320 Phone: 336-342-6060 Fax: 336-342-6068 | |
Roy O Fagan Iii Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 W Harrison St, Reidsville, NC 27320 Phone: 336-342-4448 Fax: 336-342-4499 | |
North Star Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 S Main St, Reidsville, NC 27320 Phone: 336-951-6070 Fax: 336-634-3940 | |
Reidsville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Maple Ave, Suite B, Reidsville, NC 27320 Phone: 336-634-3960 Fax: 336-634-3919 | |
Piedmont Occupational Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Turner Dr Ste A, Reidsville, NC 27320 Phone: 336-349-4070 | |
The Mcinnis Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1123 S Main St Ste C, Reidsville, NC 27320 Phone: 336-342-4286 Fax: 866-258-0126 |