Organization
SOUTHERN PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA L. DANIEL PA-C (PHYSICIAN ASSISTANT)
(423) 663-7350
Entity
Organization
Contact information
Practice address
216 NORTH CROSS STREET, ONEIDA, TN 37841
(423) 663-7350
Mailing address
PO BOX 5595, ONEIDA, TN 37841-1195
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
33975
TN
Other
Enumeration date
02/27/2014
Last updated
06/08/2016
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