Individual
MR. JOSEPH MATTHEW DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
82 COLLEGE CIRCLE MEMORIAL HALL, DAHLONEGA, GA 30597-2127
(706) 864-1669
Mailing address
82 COLLEGE CIRCLE MEMORIAL HALL, DAHLONEGA, GA 30597-0001
(706) 864-1669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT001293
STATE LICENSE
GA
Enumeration date
08/06/2007
Last updated
10/30/2019
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