Provider Demographics
NPI:1538232376
Name:DANIEL, COLETTE GREER (NP)
Entity type:Individual
Prefix:
First Name:COLETTE
Middle Name:GREER
Last Name:DANIEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7020 MOON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-4900
Mailing Address - Country:US
Mailing Address - Phone:706-569-7992
Mailing Address - Fax:706-660-8126
Practice Address - Street 1:7020 MOON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4900
Practice Address - Country:US
Practice Address - Phone:706-569-7992
Practice Address - Fax:706-660-8126
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN085223363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner