Individual
DONALD MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1121 HWY 98/51, SUMMIT, MS 39666
(601) 465-0770
(601) 465-0771
Mailing address
1121 HWY 98/51, SUMMIT, MS 39666
(601) 465-0770
(601) 465-0771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903194
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
823178853
FAMILY MEDICINE
MS
Enumeration date
08/17/2017
Last updated
01/12/2021
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