Individual
MR. DANIEL LAUREN DASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPA, PA-C
Contact information
Practice address
210 MOSE COLEMAN DR, VIDALIA, GA 30474-8677
(912) 537-2200
(912) 537-2260
Mailing address
210 MOSE COLEMAN DR, VIDALIA, GA 30474-8677
(912) 537-2200
(912) 537-2260
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8752
GA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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