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NPI Code Detail

MEDICARE: DARIAN DANIELS

MEDICARE:   DARIAN  DANIELS
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1467269225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIAN DANIELS
Provider Business Mailing Address
First Line : 512 FALLING WATERS CT APT 3101A
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-8198
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 416 MCCULLOUGH DR STE 140
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-4390
Country : US
Telephone Number : 704-717-3383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2024
Last Update Date : 12/16/2024

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Directions to “ DARIAN DANIELS ” Practice Location

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