Healthcare Provider Details

I. General information

NPI: 1801094990
Provider Name (Legal Business Name): PATRICK JOSEPH DANAHER M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 PEACHTREE DUNWOODY RD STE 300
ATLANTA GA
30342-1718
US

IV. Provider business mailing address

5505 PEACHTREE DUNWOODY RD STE 300
ATLANTA GA
30342-1718
US

V. Phone/Fax

Practice location:
  • Phone: 404-257-0814
  • Fax: 404-843-8521
Mailing address:
  • Phone: 404-257-0814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number93992
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD440801
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: