Individual
DR. JOHN THOMAS DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2323 MAIN ST., STE 202, HILTON HEAD, SC 29926-6607
(843) 682-3583
(843) 682-3597
Mailing address
PO BOX 14417, SAVANNAH, GA 31416-1417
(912) 354-6614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS9578
FL
207RP1001X
Pulmonary Disease Physician
Primary
83768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098365-00
FL MEDICAID - GROUP
FL
01
—
16620
FL BLUE - INDIVIDUAL
FL
01
—
16620U
MEDICARE - INDIVIDUAL
FL
05
—
2731240-00
—
FL
01
—
GR172A
MEDICARE - GROUP
FL
01
—
P00901341
RR MEDICARE
FL
Enumeration date
02/27/2006
Last updated
05/21/2025
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