Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mekedese Tesfaye, PA-C

Individual provider Medical Physician Assistant · NPI 1912322371

Mekedese Tesfaye, PA-C is a Medical Physician Assistant in Waycross, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1617 Satilla Blvd
Waycross, GA 31501-5027
Phone: (404) 642-7838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006805 (GA)

Record details

NPI number1912322371
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 21, 2014
Last updated in NPPESFebruary 21, 2014

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