Individual
DANIEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(334) 386-2053
(334) 244-1830
Mailing address
850 SKYLINE DR, COVINGTON, GA 30014-4886
(678) 223-8483
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
033983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810642548A
—
GA
01
—
P00125959
RAILROAD MEDICARE PROV #
GA
Enumeration date
07/06/2006
Last updated
10/24/2007
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