Individual
DARYL ABNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAS-C
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(678) 819-0357
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(678) 819-0357
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003193
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596102594B
—
GA
05
—
596102594C
—
GA
05
—
596102594D
—
GA
05
—
596102594E
—
GA
05
—
596102594F
—
GA
Enumeration date
03/16/2006
Last updated
06/11/2012
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