Individual
DANIEL A YACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
803 N JEFFERSON ST STE C, ALBANY, GA 31701
(229) 312-5800
(229) 312-5853
Mailing address
2511 OLD CORNWALLIS RD STE 200, DURHAM, NC 27713-1869
(919) 932-5700
(919) 933-6881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30528
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
058836
GA
Other
Enumeration date
01/15/2007
Last updated
06/11/2018
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