Individual
DR. FRED LESTER DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 FREDERICK STREET, SAVANNAH, GA 31405-4501
(912) 351-3030
(912) 351-3039
Mailing address
5201 FREDERICK STREET, SAVANNAH, GA 31405-4501
(912) 351-3030
(912) 351-3039
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
026496
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
26496
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00291695G
—
GA
Enumeration date
08/10/2005
Last updated
04/01/2010
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