Delozier, Daniel Patrick

Delozier, Daniel Patrick is an individual health care provider with primary practice located at 354 Newnan Crossing Byp Ste 200 , Newnan GA 30265-2323. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Delozier, Daniel Patrick can be contacted via phone (770) 460-4747.

Contact Information

Primary practice address
354 Newnan Crossing Byp Ste 200 Newnan GA 30265-2323
Phone: (770) 460-4747
Fax: (678) 673-5102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003119 Georgia

Profile Details

NPI number 1851596563
LBN Legal business name Delozier, Daniel Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Nov 21st, 2017 - about 9 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 1851596563 NPPES
Georgia MEDICAID 100002020M
Georgia MEDICAID 100002020L
Georgia Other P00617935

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