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Individual

DR. WILLIAM D DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194
Mailing address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO 738
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103G702278
GROUP TRANSACTION ACCESS NUMBER
TN
05
3302198
TN
01
4139428
TENNCARE
TN
01
TN0105
AMERICHOICE
TN
Enumeration date
09/15/2006
Last updated
04/04/2012
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