Daniels, Damon
Daniels, Damon is an sole proprietor health care provider with primary practice located at 110 Atrium Way , Columbia SC 29223-6301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Daniels, Damon can be contacted via phone (803) 865-9655.Contact Information
Primary practice address
110 Atrium Way
Columbia SC 29223-6301
Phone: (803) 865-9655
Fax: (803) 865-9653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21823 | South Carolina |
Profile Details
| NPI number | 1235104464 |
|---|---|
| LBN Legal business name | Daniels, Damon |
| Credentials | MD,MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Aug 29th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235104464 | NPPES |
| South Carolina | MEDICAID | 218231 |
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