Individual
HEATHER KAY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2169 W POINT RD STE 300, LAGRANGE, GA 30240-4037
(706) 668-5140
Mailing address
2169 W POINT RD STE 300, LAGRANGE, GA 30240-4037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN275855
GA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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