Individual
DAVID EMMANUEL WADE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1000
Mailing address
3221 BOBOLINK DR, DECATUR, GA 30032-3707
(678) 702-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12103
GA
Other
Enumeration date
04/07/2020
Last updated
04/26/2023
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