Dr JEREMIAH WESLEY DANIELS is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2006.
HATTIESBURG CLINIC PA
415 S 28TH AVE
HATTIESBURG
MS
394017246
Tel: 6012646000
| Npi | 1518014166 |
| Pac Id | 0941202436 |
| Professional Enrollment Id | I20170615000202 |
| Last Name | DANIELS |
| First Name | JEREMIAH |
| Middle Name | WESLEY |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | HATTIESBURG CLINIC PA |
| Group Practice Pac Id | 5193706794 |
| Number Of Group Practice Members | 459 |
| Line 1 Street Address | 415 S 28TH AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 394017246 |
| Phone Number | 6012646000 |
| Hospital Affiliation Ccn 1 | 250078 |
| Hospital Affiliation Lbn 1 | FORREST GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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