Daniel, Charles Darren

Daniel, Charles Darren is an individual health care provider with primary practice located at 901 18Th St E , Tifton GA 31794-3648. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Daniel, Charles Darren can be contacted via phone (229) 353-6208.

Contact Information

Primary practice address
901 18Th St E Tifton GA 31794-3648
Phone: (229) 353-6208
Fax: (229) 353-7722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN119014 Georgia

Profile Details

NPI number 1639240005
LBN Legal business name Daniel, Charles Darren
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639240005 NPPES
Georgia Other RN119014 LICENSE NUMBER

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