MEDICARE: DAROINE TEKLEYES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	79447	GA

General Provider Information

NPI Number	:	1093197154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAROINE TEKLEYES MD

Provider Business Mailing Address
First Line	:	582 CONCORD RD SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30082-2616
Country	:	US
Telephone Number	:	770-384-9860
Fax Number	:

Provider Business Practice Location Address
First Line	:	582 CONCORD RD SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30082-2616
Country	:	US
Telephone Number	:	770-384-9860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2015
Last Update Date	:	01/22/2021

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