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Mithun Sam Daniel, DO
Family Medicine Physician in Atlanta, Georgia
NPI 1508206319

Mithun Sam Daniel is a Family Medicine Physician based in Atlanta, GA. Mithun Sam Daniel practices in Atlanta, GA and has the professional credentials of DO. The NPI Number for Mithun Sam Daniel is 1508206319 and holds a License No. (Georgia).

The current practice location address for Mithun Sam Daniel is 960 Johnson Fy Rd Ne, Atlanta, GA and can be reached out via phone at 404-255-7325 and via fax at 404-255-3055.

Location: 960 Johnson Fy Rd Ne, Atlanta, GA, 30342-1631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508206319
Provider Name
Mithun Sam Daniel
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
960 Johnson Fy Rd Ne, Atlanta, GA, 30342-1631
Phone Number
404-255-7325
Fax Number
404-255-3055
Provider Enumeration Date
06/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
960 Johnson Fy Rd Ne
City
Atlanta
State
Georgia
Zip
30342-1631
Phone Number
404-255-7325
Fax Number
404-255-3055
person
Provider Business Mailing Address Details
Address
960 Johnson Fy Rd Ne
City
Atlanta
State
Georgia
Zip
30342-1631
Phone Number
404-255-7325
Fax Number
404-255-3055
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
075104 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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