Mcdaniel, Radly D

Mcdaniel, Radly D is an individual health care provider with primary practice located at 400 Mall Blvd Suite T, Savannah GA 31406. 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. Mcdaniel, Radly D can be contacted via phone (912) 355-7214.

Contact Information

Primary practice address
400 Mall Blvd Suite T Savannah GA 31406
Phone: (912) 355-7214
Fax: (912) 354-2479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN 0990619 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN190800 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0990619 Colorado

Profile Details

NPI number 1942548292
LBN Legal business name Mcdaniel, Radly D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2013
Last updated Apr 29th, 2016 - about 10 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 1942548292 NPPES
Colorado Other 0990619 APN

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