Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 036358 | GA |
N | 207RP1001X | Pulmonary Disease | 036358 | GA |
Y | 207RS0012X | Sleep Medicine | 036358 | GA |
NPI | 1003884669 |
---|---|
Provider Name | James A Daly III |
First Address | Savannah, GA 31406-1520 |
Second Address | Savannah, GA 31406-1520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 10/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000526336A | (05) | GA |
000526336E | (05) | GA |
290010295 | RAILROAD MEDICARE (01) | GA |
A53401 | (02) | GA |