TESFAYE DEMISSIE FANTA

REIDSVILLE, NC
NPI1174557128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  9700943)
Enumeration Date2006-07-10
Last Update Date2012-07-26
Business Address
Dr. TESFAYE DEMISSIE FANTA MD
910 WEST HARRISON STREET
REIDSVILLE, NC 27320
Phone number: 336-342-9564
Mailing Address
Dr. TESFAYE DEMISSIE FANTA MD
910 WEST HARRISON STREET
REIDSVILLE, NC 27320
Phone number: 336-342-9564
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