DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUSTIN BLAKE DANIELS, M.D.

Active Sole Proprietor

DR. JUSTIN BLAKE DANIELS, M.D. is a Emergency Medicine healthcare provider located in RIDGELAND, Mississippi. NPI 1013228329 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · RIDGELAND, MS

Registration Details

NPI Number
1013228329
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2010 (16.16302093215 yrs)
Last Updated
Jun 23, 2013
Licenses
T-2302 (MS)
21838 (MS)
Sole Proprietor
Yes

Practice Information

Address
103 BRIGHTON LN
APT/SUITE
RIDGELAND, MS, 391578775
Browse MS providers · Browse ZIP 39157
Phone
6014219943
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in RIDGELAND, MS

Name Credential NPI
DR. NATHAN PHILIP MCINTOSH M.D. 1053540617
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.