Individual
MR. DANIEL CADAVID DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
684 SIXES RD STE 130, HOLLY SPRINGS, GA 30115-8758
(770) 517-6636
Mailing address
704 VERNEER CT, WOODSTOCK, GA 30188-3620
(404) 729-3614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002987
GA
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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