MEDICARE: DR. ELVAN CATHERINE DANIELS MD,MPH

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	2083P0901X	Public Health & General Preventive Medicine Physician	050876	GA

General Provider Information

NPI Number	:	1740276328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELVAN CATHERINE DANIELS MD,MPH

Provider Business Mailing Address
First Line	:	75 PIEDMONT AVE
Second Line	:	SUITE 700
City	:	ATLANTA
State	:	GA
Zip	:	30303-2544
Country	:	US
Telephone Number	:	404-756-5271
Fax Number	:	434-756-1402

Provider Business Practice Location Address
First Line	:	1513 CLEVELAND AVE BLDG 500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30344-6949
Country	:	US
Telephone Number	:	404-752-1000
Fax Number	:	404-752-1229

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	12/12/2011

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