Individual
DALTON SHULER PRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.C.S.
Contact information
Practice address
1850 LAUREL ST, COLUMBIA, SC 29201
(803) 256-3400
(803) 256-2039
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7329
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16538
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165387
—
SC
05
—
GP7530
—
SC
Enumeration date
01/05/2006
Last updated
09/05/2018
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