Individual
JOHN M DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 N. STATE OF FRANKLIN RD., JOHNSON CITY, TN 37614
(423) 282-1480
(423) 928-1353
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2059
TN
208M00000X
Hospitalist Physician
0102203098
VA
208M00000X
Hospitalist Physician
2059
TN
363LF0000X
Family Nurse Practitioner
6434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3907819
—
TN
Enumeration date
01/23/2006
Last updated
06/18/2015
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