Basic Information
Provider Information
NPI: 1760758569
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GETENET
FirstName: ABRAHAM
MiddleName: TEKEHER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 MEDICAL CENTER BLVD
Address2:  
City: LAWRENCEVILLE
State: GA
PostalCode: 300467694
CountryCode: US
TelephoneNumber: 6783123294
FaxNumber: 6783123282
Practice Location
Address1: 725 AMERICAN AVE
Address2: PHC HOSPITALISTS PROGRAM ROOM 2036
City: WAUKESHA
State: WI
PostalCode: 531885031
CountryCode: US
TelephoneNumber: 2629285400
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2012
LastUpdateDate: 11/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X61867WIN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X81981GAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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