Individual
RADLY D MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 MALL BLVD, SUITE T, SAVANNAH, GA 31406
(912) 355-7214
(912) 354-2479
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0990619
CO
367500000X
Certified Registered Nurse Anesthetist
APN 0990619
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
RN190800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990619
APN
CO
Enumeration date
01/22/2013
Last updated
04/29/2016
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