Individual
WESLEY LEWIS DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1975 BEVERLY RD, SUITE B, GAINESVILLE, GA 30501-2034
(770) 536-9908
(770) 532-7102
Mailing address
1975 BEVERLY RD, SUITE B, GAINESVILLE, GA 30501-2034
(770) 536-9908
(770) 532-7102
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
395
GA
213ES0131X
Foot Surgery Podiatrist
395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064435A
—
GA
Enumeration date
11/13/2006
Last updated
08/25/2008
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