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Search › Georgia › 156FX1800X

Rod Mcdaniel

NPI 1588419220 · on the registry since 2024 · sole proprietor

Practice

Address
147 Northside Dr E
Statesboro, GA 30458
Phone
(912) 764-7914
Fax
(912) 764-7352
Organisation at this address
Ellington Eyecare Pllc
Wal-Mart Stores East, Lp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia