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Individual

DR. DAMON DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD,MPH

Contact information

Practice address
74 POLO RD, COLUMBIA, SC 29223-2806
(803) 865-9655
(803) 865-9653
Mailing address
74 POLO RD, COLUMBIA, SC 29223-2806
(803) 865-9655
(803) 865-9653

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21823
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218231
SC
Enumeration date
02/21/2006
Last updated
01/31/2025
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