MEDICARE: MR. DANIEL MARC TOUBIANA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	4940	GA

General Provider Information

NPI Number	:	1346310109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL MARC TOUBIANA PA-C

Provider Business Mailing Address
First Line	:	144 BILL CARRUTH PKWY STE 3100
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-3819
Country	:	US
Telephone Number	:	678-331-3240
Fax Number	:	678-385-4594

Provider Business Practice Location Address
First Line	:	144 BILL CARRUTH PKWY STE 3100
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-3819
Country	:	US
Telephone Number	:	678-331-3240
Fax Number	:	678-385-4594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	02/07/2026

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