DR. Tesfaye Demissie Fanta, MD

NPI #1174557128 in Reidsville, North Carolina

Provider Information

NPI Number
1174557128
Entity Type
Individual
Name
DR. Tesfaye Demissie Fanta, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
MD
Enumeration Date
Jul 10, 2006
Last Updated
Jul 26, 2012

Practice Location

Address
910 WEST HARRISON STREET
ZIP Code
27320
Phone
(336) 342-9564

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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