Mcdaniel, William L

Mcdaniel, William L is an individual health care provider with primary practice located at 1243 Broadrick Dr , Dalton GA 30720-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcdaniel, William L can be contacted via phone (706) 529-1765.

Contact Information

Primary practice address
1243 Broadrick Dr Dalton GA 30720-2800
Fax: (706) 529-7438
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11409 Georgia

Profile Details

NPI number 1174511562
LBN Legal business name Mcdaniel, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174511562 NPPES
Georgia MEDICAID 000095972D

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