Healthcare Provider Details

I. General information

NPI: 1841578416
Provider Name (Legal Business Name): DANIEL EDUARDO SARMIENTO GARZON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2011
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 COLLIER RD NW STE 4025
ATLANTA GA
30309-1750
US

IV. Provider business mailing address

95 COLLIER RD NW STE 4025
ATLANTA GA
30309-1750
US

V. Phone/Fax

Practice location:
  • Phone: 404-574-5820
  • Fax: 403-574-5821
Mailing address:
  • Phone: 404-574-5820
  • Fax: 403-574-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMT199669
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT199669
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number91926
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: