Tebeje, Legesse F.

Tebeje, Legesse F. is an individual health care provider with primary practice located at 1170 Cleveland Ave , East Point GA 30344-3615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tebeje, Legesse F. can be contacted via phone (404) 466-1170.

Contact Information

Primary practice address
1170 Cleveland Ave East Point GA 30344-3615
Phone: (404) 466-1170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20990 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58228 Georgia

Profile Details

NPI number 1124074513
LBN Legal business name Tebeje, Legesse F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124074513 NPPES
South Carolina Other 576007863110 BCBS OF SC ID
South Carolina Other 576007863071 BCBS OF SC ID
South Carolina MEDICAID T53420 BCBS OF SC ID
South Carolina Other 6919559 BCBS OF SC ID
South Carolina Other 7349013 BCBS OF SC ID

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