Basic Information
| Provider Information | |||||||||
| NPI: | 1174956478 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REMICK | ||||||||
| FirstName: | DARYL | ||||||||
| MiddleName: | FRANKLIN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2336 DAWSON RD | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317072800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2293128800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2336 DAWSON RD | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317072800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2293128800 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2013 | ||||||||
| LastUpdateDate: | 08/12/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 070577 | GA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207P00000X | 70577 | GA | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.