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MR. CHRISTOPHER WAYNE DANIELS PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1760711162

Individual Registrant:
MR. CHRISTOPHER WAYNE DANIELS PA-C
Gender: M
Sole Proprietor

Location and contact information for practice:
23 MEDICAL GROUP 3278 MITCHELL BLVD MOODY A F B, GA 31699-0001 US
Tel: 229-257-1459  Fax: 229-257-5520

Contact information for business:
3278 MITCHELL BLVD 23 MEDICAL GROUP MOODY AFB, GA 31699 US
Tel: 229-257-1459  Fax: 229-257-5520

Registration Information:
NPI: 1760711162
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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