Individual
GARY A DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
(803) 395-4480
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-2200
(803) 395-4480
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9016
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225392
UNISON
SC
05
—
090163
—
SC
01
—
20065762
SELECT HEALTH
SC
01
—
5503254
AETNA
SC
01
—
576008010007
BLUE CHOICE
SC
01
—
576008010010
BCBS
SC
01
—
576008010013
TRICARE
SC
01
—
7148029
CIGNA
SC
Enumeration date
01/18/2007
Last updated
07/23/2012
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