Daniel, Sandra D
Daniel, Sandra D is an individual health care provider with primary practice located at 72 South Broad , Ellaville GA 31806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Daniel, Sandra D can be contacted via phone (229) 937-5321.Contact Information
Primary practice address
72 South Broad
Ellaville GA 31806
Phone: (229) 937-5321
Fax: (229) 937-2232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN042208 | Georgia |
Profile Details
| NPI number | 1679615413 |
|---|---|
| LBN Legal business name | Daniel, Sandra D |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679615413 | NPPES |
| Georgia | MEDICAID | 00000019F |
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