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Individual

DR. CHRISTOPHER PATRICK DAISY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 253-1912
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101013225
MI
207P00000X
Emergency Medicine Physician
Primary
71663
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158208395
BCBS
MI
05
1710965207
MI
01
CD013225
BCBS
Enumeration date
01/04/2006
Last updated
06/11/2024
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