Individual
JENNIFER MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GOH718A75716
ANTHEM
—
Enumeration date
06/29/2018
Last updated
06/29/2018
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