NPI 1013228329

Justin Blake Daniels, MD

Practitioner Emergency Medicine Physician Ridgeland, MS

Practice location

Address: 103 Brighton Ln Apt/Suite, Ridgeland, MS 39157-8775
Phone: (601) 421-9943

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence T-2302 (MS)

Other Emergency Medicine providers in Mississippi →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 21838 (MS)

Registry record

NPI: 1013228329
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2010
Record last updated: 23 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.