Individual
DANIEL DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
51 GORDON RD, JASPER, GA 30143-7104
(706) 692-9768
Mailing address
51 GORDON RD, JASPER, GA 30143-7104
(706) 692-9768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN259401
GA
Other
Enumeration date
07/09/2020
Last updated
02/09/2023
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