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Beniam Tefera Abebe

NPI Registration Record

Provider / OrganizationNPIDate Certified
BENIAM TEFERA ABEBE13366232222022-05-08

Beniam Tefera Abebe [M] graduated in 2018 from Duke University School Of Medicine and primarily specializes in Physician Assistant.

Beniam Tefera Abebe is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336623222. Registration indicates Beniam Tefera Abebe is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )

PECOS ID9133473879
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Beniam Tefera Abebe PA-C
Practice Office Address5730 GLENRIDGE DR STE 200
ATLANTA, GA US
Practice Office Telephone4042525206
Mailing Address1561 JANMAR RD
SNELLVILLE, GA 300785639 US
Business Telephone6783448900
Business Fax6786665201
HPT Codes
CodePractice
License No
State
363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant: Surgical

All Other Specialties & Provider Types

Physician Assistant Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
GA
363AS0400X PRIMARY
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant: Surgical

All Other Specialties & Provider Types

Physician Assistant Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
8985
GA
OPI Codes
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