NPI 1033489216

Tesfaye D Fanta MD PLLC

Organisation Endocrinology, Diabetes & Metabolism Physician Reidsville, NC

Practice location

Address: 910 W Harrison St, Reidsville, NC 27320-3324
Phone: (336) 342-9564
Fax: (336) 349-9723

Authorised official

Name: Tesfaye Demissie Fanta
Title: Owner
Phone: (336) 342-9564

Registered specialties

Endocrinology, Diabetes & Metabolism Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RE0101X Licence 200900231 (NC)

Other Internal Medicine providers in North Carolina →

Registry record

NPI: 1033489216
Entity type: Organization
NPI issued: 5 Jan 2012
Record last updated: 5 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.