Organization
BEVID MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR G DANIELS (CEO)
(864) 266-3176
Entity
Organization
Contact information
Practice address
324 N PINE ST STE A, SPARTANBURG, SC 29302-1631
(864) 485-3070
Mailing address
584 VERDAE DR, SPARTANBURG, SC 29301-5384
(864) 266-3176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
12/31/2023
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