| Musc Physicians Pcp Daniel Island | |
|
864 Island Park Dr Ste 101 Daniel Island SC 29492-7369 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Musc Physicians Pcp Daniel Island |
|---|---|
| Speciality | Family Medicine |
| Location | 864 Island Park Dr Ste 101, Daniel Island, South Carolina |
| Authorized Official Name and Position | Karyn Rae (DIRECTOR) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Musc Physicians Pcp Daniel Island Po Box 602108 Charlotte NC 28260-2108 Ph: (843) 876-1146 | Musc Physicians Pcp Daniel Island 864 Island Park Dr Ste 101 Daniel Island SC 29492-7369 Ph: (843) 792-1414 |
| NPI Number | 1497925002 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 09/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497925002 | NPI | - | NPPES |
| GP4878 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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