Individual
DANIELLE MARTIN VUNCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 251-8812
(404) 521-3589
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 251-8812
(404) 521-3589
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2024-00433
NC
207V00000X
Obstetrics & Gynecology Physician
9296
GA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2024-00433
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
09/27/2024
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