Individual
MICHAEL DAVID MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
315 FLUKER ST, THOMSON, GA 30824-2108
(706) 595-1090
(706) 595-6010
Mailing address
4245 ANDERSON CIR, EVANS, GA 30809-4211
(706) 394-4998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004552
GA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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