Memorial Drive Family Medicine P.C

LBN: Memorial Drive Family Medicine P.C
Memorial Drive Family Medicine P.C is an health care organization with primary practice located at 4958 Memorial Dr , Stone Mountain GA 30083-4148. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Memorial Drive Family Medicine P.C can be contacted via phone (404) 809-2480, or through Tesfaye, Tassew via phone (404) 809-2480.

Contact Information

Primary practice address
4958 Memorial Dr Stone Mountain GA 30083-4148
Phone: (404) 809-2480
Fax: (404) 809-2485
Website:
Map and Directions
Authorized official contact:
Name: Tesfaye, Tassew Doctor of Medicine (MD)
Phone: (404) 809-2480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1285994251
LBN Legal business name Memorial Drive Family Medicine P.C
DBA Doing business as
Authorized official Tesfaye, Tassew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2012
Last updated Jul 12th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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