MR. Jessie Carl Daniels SR.

NPI #1366734667 in Cairo, Georgia

Provider Information

NPI Number: 1366734667
Entity Type: Individual
Name: MR. Jessie Carl Daniels SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: May 5, 2011
Last Updated: May 5, 2011

Practice Location

Address: 207 SUNSET LN
City: Cairo
State: Georgia
ZIP Code: 39828-6741
Phone: (229) 378-8922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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