Individual
TREVOR DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 HIDDEN SHOALS LN SE, CONYERS, GA 30013-5213
(404) 895-9327
Mailing address
1620 HIDDEN SHOALS LN SE, CONYERS, GA 30013-5213
(404) 895-9327
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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