Individual
RAYMOND LEE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 GROVE RD FL 4, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116021815
VA
207R00000X
Internal Medicine Physician
03443
KY
207R00000X
Internal Medicine Physician
83434
SC
208M00000X
Hospitalist Physician
Primary
83434
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100201050
—
KY
Enumeration date
08/04/2009
Last updated
07/13/2021
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