Individual
MRS. LINDA R MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
690 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1264
(770) 456-3850
(770) 456-3826
Mailing address
690 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1264
(770) 456-3850
(770) 456-3826
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN191724
GA
367A00000X
Advanced Practice Midwife
Primary
RN191724
GA
Other
Enumeration date
06/16/2009
Last updated
11/16/2012
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