Individual
DR. DANIEL JAMES HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 RIVER GLEN TRCE NW, ATLANTA, GA 30328-3558
(770) 952-5828
Mailing address
445 RIVER GLEN TRCE NW, ATLANTA, GA 30328-3558
(770) 952-5828
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20121
GEORGIA
GA
Enumeration date
02/04/2011
Last updated
02/04/2011
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