Individual
DR. DANIEL CHARLES TARQUINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3875
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS10175
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
72932
GA
2084N0600X
Clinical Neurophysiology Physician
72932
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153174E
—
GA
Enumeration date
10/24/2006
Last updated
12/01/2022
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