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NPI Code Detail

MEDICARE: DR. FRED LESTER DANIEL MD

MEDICARE: DR. FRED LESTER DANIEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician26496GA
2207YX0905XOtolaryngology/Facial Plastic Surgery Physician026496GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013918150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRED LESTER DANIEL MD
Provider Business Mailing Address
First Line : 5201 FREDERICK STREET
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4501
Country : US
Telephone Number : 912-351-3030
Fax Number : 912-351-3039
Provider Business Practice Location Address
First Line : 5201 FREDERICK STREET
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4501
Country : US
Telephone Number : 912-351-3030
Fax Number : 912-351-3039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 04/01/2010

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Directions to “ DR. FRED LESTER DANIEL MD” Practice Location

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