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Individual

DR. MICHAEL LANIER MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11975 MORRIS RD, SUITE 300, ALPHARETTA, GA 30005-4419
(770) 521-2295
(770) 255-0333
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
057398
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
357763500A
GA
05
357763500C
GA
05
357763500D
GA
Enumeration date
04/25/2006
Last updated
06/01/2016
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