Individual
DANIEL PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
130 LOG CABIN RD NE UNIT B, MILLEDGEVILLE, GA 31061-0918
(478) 457-0003
Mailing address
130 LOG CABIN RD NE UNIT B, MILLEDGEVILLE, GA 31061-0918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011011
GA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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