Individual
DR. WAYNE WORTH DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1655 ROBERTS BLVD NW, KENNESAW, GA 30144-3632
(770) 419-3355
Mailing address
1655 ROBERTS BLVD NW, KENNESAW, GA 30144-3632
(770) 419-3355
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
059703
GA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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