Individual
DR. DANIEL REIF DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 OLD NORCROSS RD STE 100, CLEAR CHOICE FAMILY MEDICINE, LAWRENCEVILLE, GA 30046-8703
(770) 822-3031
(770) 822-3032
Mailing address
2312 NORTHLAKE CT NE, ATLANTA, GA 30345-2224
(419) 651-9203
(770) 822-3032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75441
GA
Other
Enumeration date
11/02/2005
Last updated
07/02/2016
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