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NPI Code Detail

MEDICARE: TIGEST TESHOME NP

MEDICARE:   TIGEST  TESHOME  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerRN245809GA
2363L00000XNurse PractitionerRN245809GA
3363LA2200XAdult Health Nurse PractitionerAPRN11000286FL
4363L00000XNurse PractitionerAPRN11000286FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558827162
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIGEST TESHOME NP
Provider Business Mailing Address
First Line : PO BOX 746087
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6087
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 275 COLLIER RD NW STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1711
Country : US
Telephone Number : 404-605-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2019
Last Update Date : 04/14/2026

Similar Medicare Providers

1164368643 — TYLER THURBER
Practice Location Address:
275 COLLIER RD NW STE 500
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30309-1711
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1306043302 — CARRIE DANIELLE LAWSON M.D.
Practice Location Address:
275 COLLIER RD , SUITE 100-A
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Practice Fax:
1598955544 — SANDEEP K GOYAL MD
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1275729691 — PIEDMONT CARDIOLOGY OF ATLANTA, LLC
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Directions to “ TIGEST TESHOME NP” Practice Location

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