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Individual

DANIEL J. CANTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2685 MILSCOTT DR, DECATUR, GA 30033-5906
(404) 292-3727
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
300441
LA
208800000X
Urology Physician
Primary
65462
GA
208800000X
Urology Physician
MD432523
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09852041
MS
05
2407678
LA
Enumeration date
12/29/2006
Last updated
09/09/2019
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