Individual
DR. DANIEL AB METHUSELAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7182 WOODROW ST STE 105, IRMO, SC 29063-2832
(803) 781-3500
(803) 781-2924
Mailing address
7182 WOODROW ST STE 105, IRMO, SC 29063-2832
(803) 781-3500
(803) 781-2924
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0517
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480027811
RAILROAD MEDICARE
—
Enumeration date
05/24/2006
Last updated
08/12/2019
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