Mcevoy, Danyel Bourgeois

Mcevoy, Danyel Bourgeois is an individual health care provider with primary practice located at 4450 Leeds Pl W Ste A , N Charleston SC 29405-8405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Mcevoy, Danyel Bourgeois can be contacted via phone (843) 763-2611.

Contact Information

Primary practice address
4450 Leeds Pl W Ste A N Charleston SC 29405-8405
Fax: (843) 852-4099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25287 South Carolina

Profile Details

NPI number 1629168679
LBN Legal business name Mcevoy, Danyel Bourgeois
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 2nd, 2019 - about 6 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 1629168679 NPPES
South Carolina MEDICAID 252871

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