Timothy Peter Daniel


Address: 64 A Jones Mill Rd, Woodbury, GA 30293-2678

Timothy Peter Daniel (NPI# 1538635255, PAC ID# 1658611694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1538635255
PAC ID by PECOS 1658611694
Professional Enrollment ID I20190328002851
Full Name Timothy Peter Daniel
Address 64 A Jones Mill Rd
Woodbury
GA 30293-2678
Gender M
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
111316 WARM SPRINGS MEDICAL CENTER

Other Locations

Address Phone Organization
64 A Jones Mill Rd, Woodbury, GA 30293-2678

Organization Information

Office Location

Street Address 64 A JONES MILL RD
City WOODBURY
State GA
Zip 30293-2678

Competitor

Search similar physicians

City WOODBURY
Zip Code 30293
Specialty NURSE PRACTITIONER
City + Specialty WOODBURY + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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