Dalton, Anthony Ray

Dalton, Anthony Ray is an individual health care provider with primary practice located at 851 Leonard Fulghum Dr Ste 100 , Mount Pleasant SC 29464-3793. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dalton, Anthony Ray can be contacted via phone (888) 853-1529.

Contact Information

Primary practice address
851 Leonard Fulghum Dr Ste 100 Mount Pleasant SC 29464-3793
Phone: (888) 853-1529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3734 South Carolina

Profile Details

NPI number 1477224095
LBN Legal business name Dalton, Anthony Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477224095 NPPES
Idaho Other PA2008 PA LICENSE
Idaho Other PA3734 PA LICENSE

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