Individual
DR. DANIEL JOSUE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
800 GI MADDOX PARKWAY, CHATSWORTH, GA 30705
(706) 686-8015
(706) 686-8221
Mailing address
1200 MEMORIAL DRIVE, DALTON, GA 30720
(706) 226-8996
(706) 272-6761
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
16810
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2024
Last updated
11/08/2024
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