Individual
MR. DANIEL WILSON KREVDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
901 GRIFFIN AVE, EASTMAN, GA 31023-6720
(478) 448-4048
(478) 374-9797
Mailing address
621 NORTH AVENUE, NE, SUITE C-30, ATLANTA, GA 30308
(678) 904-6820
(678) 904-6824
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
JX39313
FL
2471C3402X
Radiography Radiologic Technologist
JX39313
FL
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
JX39313
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us