NPI 1376958546

Daniels Discovery Dynamics, LLC

Organisation Exclusive Provider Organization Florence, SC

Practice location

Address: 1803 Cherokee Rd, Florence, SC 29501-4184
Phone: (843) 661-6030
Fax: (843) 679-2633

Authorised official

Name: Prezillic Daniels
Title: Owner/Counselor
Phone: (843) 661-6030

Registered specialties (2)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5468 (SC)

Other Exclusive Provider Organization providers in South Carolina →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 5468 (SC)

Other Preferred Provider Organization providers in South Carolina →

Registry record

NPI: 1376958546
Entity type: Organization
NPI issued: 26 Jun 2014
Record last updated: 26 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.