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1356401616
HAILU DEMISSACHEW
ROME, GA
NPI
1356401616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine Nephrology
(Licence: GA 054072)
Enumeration Date
2006-12-09
Last Update Date
2020-03-23
Business Address
HAILU DEMISSACHEW MD
19 REDMOND RD NW
ROME, GA 30165-1533
Phone number: 706-233-8504
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Mailing Address
HAILU DEMISSACHEW MD
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 762-235-1000
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