Daniels, Kolisha Dee

Daniels, Kolisha Dee is an individual health care provider with primary practice located at 1200 Lower Fayetteville Rd Ste B , Newnan GA 30265-1133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Daniels, Kolisha Dee can be contacted via phone (678) 631-4610.

Contact Information

Primary practice address
1200 Lower Fayetteville Rd Ste B Newnan GA 30265-1133
Phone: (678) 631-4610
Fax: (678) 631-4611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN213104 Georgia

Profile Details

NPI number 1720447493
LBN Legal business name Daniels, Kolisha Dee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2016
Last updated Jan 7th, 2022 - about 4 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 1720447493 NPPES
Georgia MEDICAID 003175704A
Georgia MEDICAID 003175704D

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