Tesfaye, Mekedese
Tesfaye, Mekedese is an sole proprietor health care provider with primary practice located at 1617 Satilla Blvd , Waycross GA 31501-5027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tesfaye, Mekedese can be contacted via phone (404) 642-7838.Contact Information
Primary practice address
1617 Satilla Blvd
Waycross GA 31501-5027
Phone: (404) 642-7838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 006805 | Georgia |
Profile Details
| NPI number | 1912322371 |
|---|---|
| LBN Legal business name | Tesfaye, Mekedese |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2014 |
| Last updated | Feb 21st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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