Dr. Daniel Tesfaye
Neurologist
1368 Wellbrook Cir Ne Ste A
Conyers
, Georgia 30012-3980
Dr. Daniel Tesfaye
Neurologist
1368 Wellbrook Cir Ne Ste A
Conyers
, Georgia 30012-3980
(770) 274-3378
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Daniel Tesfaye
- Po Box 542
- Conyers, GA
- Zip : 30012
- Phone : (770) 274-3378
Second Address
- Dr. Daniel Tesfaye
- 1368 Wellbrook Cir Ne Ste A
- Conyers, GA
- Zip : 30012-3980
- Fax : (770) 274-3378
- Phone : (770) 274-3378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 67614 | GA |
National Provider Identifier
| NPI | 1023033065 |
|---|---|
| Provider Name | Dr. Daniel Tesfaye |
| First Address | Conyers, GA 30012 |
| Second Address | Conyers, GA 30012-3980 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 22/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89126GJ | (05) | NC |
| H14112 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.