Individual
CHRISTOPHER LADALE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 551-0083
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 227-5102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
201390
LA
207RI0011X
Interventional Cardiology Physician
Primary
071484
GA
207RI0011X
Interventional Cardiology Physician
ME120935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073946
—
LA
Enumeration date
05/18/2007
Last updated
06/24/2021
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