Individual
DANIEL JOHN CADWALLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 453-1201
Mailing address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 453-1201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8793
GA
Other
Enumeration date
09/06/2005
Last updated
07/09/2020
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