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NPI Code Detail

MEDICARE: DR. WILLIAM W. DANIELS JR. M.D.

MEDICARE:  DR. WILLIAM W. DANIELS JR. M.D.
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
12084P0800XPsychiatry Physician052551GA

General Provider Information

NPI Number : 1477685063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM W. DANIELS JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 3110
Second Line :
City : BRUNSWICK
State : GA
Zip : 31521-3110
Country : US
Telephone Number : 912-634-1050
Fax Number : 912-634-9111
Provider Business Practice Location Address
First Line : 2927 DEMERE RD
Second Line :
City : ST SIMONS ISLAND
State : GA
Zip : 31522-1620
Country : US
Telephone Number : 912-634-1050
Fax Number : 912-634-9111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2007
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM W. DANIELS JR. M.D.” Practice Location

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