Individual
ROBERT KEITH DANIELS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 18TH ST, COLUMBUS, GA 31901-1524
(706) 649-6600
(706) 649-6614
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 649-6600
(706) 649-6614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00019461
AL
208600000X
Surgery Physician
Primary
00019461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000689939B
—
GA
05
—
009903545
—
AL
Enumeration date
11/18/2005
Last updated
05/18/2016
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