NPI 1457857906

David D Daniels

Practitioner Driver Columbia, MS

Practice location

Address: 141 Friendship Church Rd, Columbia, MS 39429-3942
Phone: (601) 736-5460
Fax: (601) 736-5831
Mailing address: 141 Friendship Church Rd, Columbia, MS 39429-6457

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 802034765 (MS)

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Registry record

NPI: 1457857906
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2018
Record last updated: 3 Apr 2018

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.