Individual
MR. DANIEL T AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2625 SANDY PLAINS RD, MARIETTA, GA 30066-4260
(404) 635-6117
Mailing address
40 WOLVERTON CT, STONE MOUNTAIN, GA 30087-2514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002591
GA
Other
Enumeration date
07/18/2006
Last updated
12/31/2020
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