Stephen Daniels
Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).
NPI number1316628142
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1316628142
- Entity type
- Individual (NPI-1)
- Name
- Stephen Daniels
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2023
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
720 Westview Dr SwAtlanta, GA 30310-1458
Phone 404-752-1500
Mailing address
720 Westview Dr SwAtlanta, GA 30310-1458
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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