Individual
DANIEL P GOLIGHTLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3188 ATLANTA RD SE, SMYRNA, GA 30080-8256
(770) 319-6000
(770) 319-6330
Mailing address
3188 ATLANTA RD SE, SMYRNA, GA 30080-8256
(770) 319-6000
(770) 319-6330
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
012470
GA
2084P0802X
Addiction Psychiatry Physician
12470
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000017509K
—
GA
Enumeration date
10/12/2006
Last updated
09/08/2015
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