| Tesfaye Md | |
|
4045 Royal Pennon Ct Norcross GA 30092-2178 | |
| (770) 474-5470 | |
| (770) 474-4620 |
| Full Name | Tesfaye Md |
|---|---|
| Speciality | Family Medicine |
| Location | 4045 Royal Pennon Ct, Norcross, Georgia |
| Authorized Official Name and Position | Tassew Tesfaye (CEO/OWNER) |
| Authorized Official Contact | 7704745470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tesfaye Md 4045 Royal Pennon Ct Norcross GA 30092-2178 Ph: (770) 474-5470 | Tesfaye Md 4045 Royal Pennon Ct Norcross GA 30092-2178 Ph: (770) 474-5470 |
| NPI Number | 1487840468 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487840468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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