Individual
DR. DANIEL NAMKOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5538
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15033
GA
208D00000X
General Practice Physician
103972
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2023
Last updated
05/21/2025
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