Individual
DR. JOHN G DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8152 NORTHUMBERLAND HWY, HEATHSVILLE, VA 22473-3309
(804) 580-7200
Mailing address
PO BOX 2255, KILMARNOCK, VA 22482-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101034787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080119027
RR MEDICARE
VA
01
—
323362
ANTHEM BCBS
VA
Enumeration date
08/04/2006
Last updated
05/20/2008
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