Provider Demographics
NPI:1114186020
Name:FRANK J. D'ANNA
Entity Type:Organization
Organization Name:FRANK J. D'ANNA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:D'ANNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-729-2955
Mailing Address - Street 1:102 LAKESHORE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-3874
Mailing Address - Country:US
Mailing Address - Phone:912-729-2955
Mailing Address - Fax:
Practice Address - Street 1:102 LAKESHORE DR
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3874
Practice Address - Country:US
Practice Address - Phone:912-729-2955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036952305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization