Individual
DR. JAMES EDMONDS MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 PROFESSIONAL DR, SUITE 160, LAWRENCEVILLE, GA 30045-7698
(678) 376-4242
(678) 376-4245
Mailing address
601 PROFESSIONAL DR, SUITE 160, LAWRENCEVILLE, GA 30045-7698
(678) 376-4242
(678) 376-4245
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
021746
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310373A
—
GA
Enumeration date
08/03/2005
Last updated
05/01/2008
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