Individual
MR. MARK G DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
59 EXECUTIVE PARK SOUTH NE, SUITE 2000, ATLANTA, GA 30329-2208
(404) 778-3347
(404) 778-7117
Mailing address
59 EXECUTIVE PARK SOUTH NE, SUITE 2000, ATLANTA, GA 30329-2208
(404) 778-3347
(404) 778-7117
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1634
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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