| Daniel Pistone Md Pa | |
|
3185 Wildhorse Dr Conway SC 29526-7817 | |
| (843) 234-2335 | |
| Not Available |
| Full Name | Daniel Pistone Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3185 Wildhorse Dr, Conway, South Carolina |
| Authorized Official Name and Position | Daniel Nelson Pistone (OWNER) |
| Authorized Official Contact | 8432342335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Pistone Md Pa Po Box 656 Tabor City NC 28463-0656 Ph: (843) 234-2335 | Daniel Pistone Md Pa 3185 Wildhorse Dr Conway SC 29526-7817 Ph: (843) 234-2335 |
| NPI Number | 1801876446 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801876446 | NPI | - | NPPES |
| GP4324 | Medicaid | SC | |
| 2003467 | Other | SC | CIGNA |
| D9836 | Other | SC | MEDCOST |
| N01445 | Medicaid | SC | |
| 9344735 | Other | SC | PRIVATE HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26858 (South Carolina) | Primary |
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