All Medicaid billing entities listing FANTA, TESFAYE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| North Carolina | 1 | $29K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TESFAYE D FANTA MD PLLC | REIDSVILLE, NC | Endocrinology, Diabetes & Metabolism Physician | $29K |