Individual
DANIEL ROBERTS VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-9018
(770) 474-4248
Mailing address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 991-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9358
GA
Other
Enumeration date
04/25/2019
Last updated
07/22/2019
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