Individual
DR. DANIEL MORRIS GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 LANGLEY DR, LAWRENCEVILLE, GA 30046-6930
(770) 685-1300
(770) 685-1311
Mailing address
121 LANGLEY DR, LAWRENCEVILLE, GA 30046-6930
(770) 685-1300
(770) 685-1311
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
021155
GA
208D00000X
General Practice Physician
Primary
021155
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I242928
MEDICARE PROVIDER ID
—
Enumeration date
11/07/2007
Last updated
11/22/2011
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