Individual
NIKKI DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 FORTUNE DR, DACULA, GA 30019-2375
(404) 610-7693
Mailing address
2460 FORTUNE DR, DACULA, GA 30019-2375
(404) 610-7693
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
200547
GA
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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