Individual
DANIEL HENRY SERRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7141 MOON RD, COLUMBUS, GA 31909-3137
(706) 322-7246
(706) 596-2115
Mailing address
PO BOX 9456, COLUMBUS, GA 31908-9456
(706) 322-7246
(706) 596-2115
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
30885
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00460171D
—
GA
01
—
650207
BCBS PROVIDER ID
GA
Enumeration date
06/14/2006
Last updated
08/28/2007
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