Provider Demographics
NPI:1942982442
Name:DAY, DANIEL DWAYNE JR
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:DWAYNE
Last Name:DAY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 HOBSON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:NC
Mailing Address - Zip Code:27013-8006
Mailing Address - Country:US
Mailing Address - Phone:704-674-3099
Mailing Address - Fax:
Practice Address - Street 1:2075 HOBSON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:NC
Practice Address - Zip Code:27013-8006
Practice Address - Country:US
Practice Address - Phone:704-674-3099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant