Individual
DANIEL LEE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117-4402
(770) 834-0873
(770) 834-6118
Mailing address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117-4402
(770) 834-0873
(770) 834-6118
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
080787
GA
Other
Enumeration date
12/15/2008
Last updated
10/04/2018
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