MEDICARE: DANIEL J. MUSSER 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
1	207Q00000X	Family Medicine Physician	76582	GA

General Provider Information

NPI Number	:	1679912877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J. MUSSER MD

Provider Business Mailing Address
First Line	:	81 NORTHSIDE DAWSON DR
Second Line	:	SUITE 100
City	:	DAWSONVILLE
State	:	GA
Zip	:	30534-7166
Country	:	US
Telephone Number	:	706-216-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 NORTHSIDE DAWSON DR
Second Line	:	SUITE 100
City	:	DAWSONVILLE
State	:	GA
Zip	:	30534-7166
Country	:	US
Telephone Number	:	706-216-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	02/26/2021

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