Individual
MR. DANIEL LYNN MCNABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
816 MUSCOGEE WAY, MOUNT JULIET, TN 37122-5229
(615) 754-4879
Mailing address
816 MUSCOGEE WAY, MOUNT JULIET, TN 37122-5229
(615) 754-4879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00317
TN
Other
Enumeration date
07/25/2006
Last updated
09/03/2008
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