# DANIEL MEDICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538539077
- **Authorized official:** SELWYN GEORGE DANIEL PA-C (CEO)
- **Authorized official phone:** (252) 907-8690

## Contact information

- **Practice address:** 3068 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
- **Practice address phone:** (252) 907-8690
- **Mailing address:** PO BOX 8889, ROCKY MOUNT, NC 27804-6889
- **Mailing address phone:** (252) 907-8690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2015
- **Last updated:** 09/27/2015
