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Individual

MR. DANIEL R NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
156 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 214-2229
(770) 214-9691
Mailing address
156 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 214-2229
(770) 214-9691

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032005
GA

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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