Individual
DR. PATRICK C. DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6933
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.098423
IL
207Q00000X
Family Medicine Physician
108026
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247985443
—
MO
Enumeration date
06/06/2006
Last updated
08/21/2013
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