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MR. DANIEL MARK PERRINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1120 15TH ST # BI1056, AUGUSTA, GA 30912-0004
(706) 721-3928
Mailing address
239 COACH LIGHT WAY, AIKEN, SC 29803-3903
(803) 221-8796

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
23306
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
RN284824
GA

Other

Enumeration date
03/08/2019
Last updated
07/15/2024
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