Mcdaniel, Wanda
Mcdaniel, Wanda is an individual health care provider with primary practice located at 50 Kelly Rd , Mcdonough GA 30253-6012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdaniel, Wanda can be contacted via phone (770) 957-1887.Contact Information
Primary practice address
50 Kelly Rd
Mcdonough GA 30253-6012
Phone: (770) 957-1887
Fax: (770) 957-6864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN038289NP | Georgia |
Profile Details
| NPI number | 1457460669 |
|---|---|
| LBN Legal business name | Mcdaniel, Wanda |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 6th, 2013 - about 12 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 | 1457460669 | NPPES |
| Georgia | Other | 1153620002 | PEACHSTATE |
| Georgia | Other | 10033124 | PEACHSTATE |
| Georgia | Other | 319962 | PEACHSTATE |
| Georgia | MEDICAID | 000821356A | PEACHSTATE |
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