Healthcare Provider Details

I. General information

NPI: 1962273276
Provider Name (Legal Business Name): DANIEL VARGA JR. CP-C, NREMT-P, HC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WALDEN CT
MACON GA
31216-7663
US

IV. Provider business mailing address

105 WALDEN CT
MACON GA
31216-7663
US

V. Phone/Fax

Practice location:
  • Phone: 478-751-8732
  • Fax:
Mailing address:
  • Phone: 478-751-8732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP030988
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberINS-0479
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: