Individual
DR. DANNY JOSE SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4553 N SHALLOWFORD RD, SUITE 20B, ATLANTA, GA 30338-6408
(770) 457-6303
Mailing address
1402 AZALEA GARDEN DR, DUNWOODY, GA 30338-7909
(203) 518-0201
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
69259
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2008
Last updated
07/25/2013
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