Individual
DR. DANIEL TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1368 WELLBROOK CIR NE, STE A, CONYERS, GA 30012-3980
(770) 274-3378
(770) 274-3378
Mailing address
PO BOX 542, CONYERS, GA 30012
(770) 274-3378
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
67614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126GJ
—
NC
Enumeration date
07/12/2006
Last updated
08/22/2019
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