Individual
DR. DANIEL SCOTT FAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR ROAD, NEWNAN, GA 32605-1618
(770) 400-1000
Mailing address
745 POPLAR ROAD, NEWNAN, GA 30265-1618
(770) 400-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
051798
GA
2085R0202X
Diagnostic Radiology Physician
51798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000932379AB
—
GA
05
—
000932379C
—
GA
01
—
P01060203
RAILROAD MEDICARE
GA
Enumeration date
01/25/2006
Last updated
03/03/2016
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