Individual
MARK A. MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 INDUSTRIAL PKWY STE B, SARALAND, AL 36571-3746
(251) 414-5900
(251) 445-8859
Mailing address
960 INDUSTRIAL PKWY STE B, SARALAND, AL 36571-3746
(251) 414-5900
(251) 445-8859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12136
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051510363
—
AL
01
—
K961
MEDICARE GROUP
—
Enumeration date
07/03/2006
Last updated
08/13/2024
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