Individual
RICHARD DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1030 MAIN S ST, WEDOWEE, AL 36278-7440
(256) 357-2188
(256) 357-2023
Mailing address
100 GREENWAY BLVD STE C, CARROLLTON, GA 30117-4358
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1046938
AL
Other
Enumeration date
07/25/2006
Last updated
10/10/2025
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