| Organization Name: | DANIELSVILLE FAMILY PRACTICE |
| NPI Number: | 1073709218 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES MONROE HAYMORE (OWNER) |
| Mailing Address: | 479 Highway 98 E Danielsville |
| State: | GA US |
| Postal Code: | 306335829 |
| Phone Number: | 7067955211 |
| Fax Number: | 7067952519 |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 03/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 009721 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |