Organization
AGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIA DAWN DANIEL CRNP (PRESIDENT)
(304) 842-2273
Entity
Organization
Contact information
Practice address
164 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-2273
(304) 842-2339
Mailing address
164 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-2273
(304) 842-2339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29466
WV
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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