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Individual

MR. CHRISTOPHER WAYNE DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
23 MEDICAL GROUP, 3278 MITCHELL BLVD, MOODY A F B, GA 31699-0001
(229) 257-1459
(229) 257-5520
Mailing address
3278 MITCHELL BLVD, 23 MEDICAL GROUP, MOODY AFB, GA 31699
(229) 257-1459
(229) 257-5520

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/14/2009
Last updated
12/14/2009
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