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Individual

DR. KATHERINE LENORE FORD DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1550 COLLEGE ST, MACON, GA 31207-1500
(478) 301-2600
Mailing address
1307 FEDERAL ST, PITTSBURGH, PA 15212-4769

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
85913
GA
207P00000X
Emergency Medicine Physician
MD468646
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT217742
TRAINING LICENSE
PA
Enumeration date
03/24/2016
Last updated
06/04/2024
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