Individual
EDWARD DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0407
Mailing address
401 BUCKEYE DR UNIT 3303, RICHMOND HILL, GA 31324-4695
(540) 846-7379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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