Individual
JAMES DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
102 OAK ST, STATESBORO, GA 30458-4852
(912) 489-1787
Mailing address
11900 HWY 280 E, ELLABELL, GA 31308-3603
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
HAD-0468
SC
237700000X
Hearing Instrument Specialist
Primary
HADS000813
GA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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