Individual
BRIAN HEATH DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 MARIARDEN RD, SUITE D, DADEVILLE, AL 36853-6254
(256) 825-7871
(256) 825-5742
Mailing address
301 MARIARDEN RD, SUITE D, DADEVILLE, AL 36853-6254
(256) 825-7871
(256) 825-5742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-125160
AL
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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