Healthcare Provider Details

I. General information

NPI: 1164996757
Provider Name (Legal Business Name): DAILY MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 FIRE STATION RD
BAILEYTON AL
35019-9609
US

IV. Provider business mailing address

PO BOX 130
BAILEYTON AL
35019-0130
US

V. Phone/Fax

Practice location:
  • Phone: 256-735-4057
  • Fax: 256-735-4229
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSIAH DAILY
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 256-735-4057