Mekoya, Abiy Dessalegn
Mekoya, Abiy Dessalegn is an individual health care provider with primary practice located at 2260 Wrightsboro Rd , Augusta GA 30904-4764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mekoya, Abiy Dessalegn can be contacted via phone (706) 774-5795.Contact Information
Primary practice address
2260 Wrightsboro Rd
Augusta GA 30904-4764
Phone: (706) 774-5795
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 47598 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 58369 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 58369 | Georgia |
Profile Details
| NPI number | 1023064938 |
|---|---|
| LBN Legal business name | Mekoya, Abiy Dessalegn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | May 21st, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023064938 | NPPES |
| Wisconsin | MEDICAID | 34698100 |
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