Individual
DR. TRENT WESLEY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2037 CONGRESS PKWY S, ATHENS, TN 37303-2813
(423) 381-0152
(423) 381-8063
Mailing address
2037 CONGRESS PKWY S, ATHENS, TN 37303-2813
(423) 381-0152
(423) 381-8063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-111703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111703
—
IL
01
—
08232205
BLUE CROSS BLUE SHIELD
IL
01
—
095778
HEALTH ALLIANCE
IL
01
—
2368975
UNITED HEALTHCARE
IL
01
—
678197
HEALTHLINK
IL
01
—
P00351072
RAIL ROAD MEDICARE
IL
Enumeration date
03/27/2006
Last updated
04/01/2022
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