Individual
MICHAEL DANIEL ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
121 RAVENWOOD CT APT A, ALBANY, GA 31701-0141
(229) 894-6737
Mailing address
121 RAVENWOOD CT APT A, ALBANY, GA 31701-0141
(229) 894-6735
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN259485
GA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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