Individual
DR. DANIEL GEOFFREY BOSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
597 S ENOTA DR NE, GAINESVILLE, GA 30501-2545
(770) 219-8102
(770) 219-7778
Mailing address
601 S ENOTA DR NE, SUITE Q, GAINESVILLE, GA 30501-2400
(770) 219-7826
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36654
MO
207Q00000X
Family Medicine Physician
Primary
066761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247970015
—
MO
01
—
98641
AR BLUE SHIELD #
MO
Enumeration date
02/06/2007
Last updated
02/01/2021
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