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Individual

MR. BRIAN MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
2599 OAK ST, EAST POINT, GA 30344-3026
(404) 576-8145
Mailing address
1117 OXFORD DR SE, CONYERS, GA 30013-6429
(770) 595-7184

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012268
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SLP012268
GA
Enumeration date
08/19/2022
Last updated
07/08/2025
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