Healthcare Provider Details

I. General information

NPI: 1003737388
Provider Name (Legal Business Name): KATE DANIELS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 JOHNSON FY RD NE
SANDY SPRINGS GA
30342-1605
US

IV. Provider business mailing address

1001 JOHNSON FY RD NE
SANDY SPRINGS GA
30342-1605
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-2157
  • Fax: 404-785-2157
Mailing address:
  • Phone: 404-785-2157
  • Fax: 404-785-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: