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
Fax: (803) 865-9653
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235104464 NPPES
South Carolina MEDICAID 218231

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