Individual
MICHAEL DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1433
(912) 871-2261
Mailing address
PO BOX 386, SPRINGFIELD, GA 31329-0386
(912) 754-0182
(912) 754-1250
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN218021
GA
363LF0000X
Family Nurse Practitioner
APRN-NP218021
GA
Other
Enumeration date
09/02/2015
Last updated
11/04/2025
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