Individual
MICHELLE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 GRACE MILLER RD, NEWTON, GA 39870-8234
(229) 364-8722
Mailing address
3134 GRACE MILLER RD, NEWTON, GA 39870-8234
(229) 364-8722
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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