Individual
MRS. SHARON DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 OQUINN DR, TIFTON, GA 31794-3728
(229) 402-3753
Mailing address
1145 OQUINN DR, TIFTON, GA 31794-3728
(229) 402-3753
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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