Doctor Name: | DR. TIMOTHY B DANIEL |
NPI Number: | 1629038096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME62916 |
Business Practice Address: | 508 Gordon Ave Thomasville, GA - 317926646 |
Business Phone Number: | 2292260125 |
Business Fax Number: | 2292260195 |
Mailing Address: | 508 Gordon Ave, THOMASVILLE |
State: | GA |
Postal Code: | 317926646 |
Phone Number: | 2292260125 |
Fax Number: | 2292260195 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | ME62916 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |