MR. Christopher Wayne Daniels, PA-C

NPI #1760711162 in Moody a F B, Georgia

Provider Information

NPI Number: 1760711162
Entity Type: Individual
Name: MR. Christopher Wayne Daniels, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 14, 2009
Last Updated: Dec 14, 2009

Practice Location

Address: 23 MEDICAL GROUP
Address 2: 3278 MITCHELL BLVD
City: Moody a F B
State: Georgia
ZIP Code: 31699-0001
Phone: (229) 257-1459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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