Provider Demographics
NPI:1235163114
Name:BELESS, DANIEL JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JAMES
Last Name:BELESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1341 CANTON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6056
Mailing Address - Country:US
Mailing Address - Phone:770-422-0517
Mailing Address - Fax:678-638-7015
Practice Address - Street 1:5887 GLENRIDGE DR STE 375
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-6191
Practice Address - Country:US
Practice Address - Phone:678-229-2800
Practice Address - Fax:404-845-9989
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0234242083P0011X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00439392EMedicaid
F09566Medicare UPIN
GA00439392EMedicaid