Provider Demographics
NPI:1841578416
Name:SARMIENTO GARZON, DANIEL EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:EDUARDO
Last Name:SARMIENTO GARZON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:95 COLLIER RD NW STE 4025
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1750
Mailing Address - Country:US
Mailing Address - Phone:404-574-5820
Mailing Address - Fax:403-574-5821
Practice Address - Street 1:95 COLLIER RD NW STE 4025
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1750
Practice Address - Country:US
Practice Address - Phone:404-574-5820
Practice Address - Fax:403-574-5821
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT199669208600000X, 390200000X
GA91926208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program