Individual
DR. DANE NICHOLAS DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2018-01210
NC
207X00000X
Orthopaedic Surgery Physician
35711
SC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
35711
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
05
—
1174961155
—
NC
05
—
NC3429
—
SC
Enumeration date
06/12/2013
Last updated
02/22/2021
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