Individual
DANIEL QUIRK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
(888) 467-1117
(855) 786-6996
Mailing address
201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
(884) 671-1178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-08545
NC
363A00000X
Physician Assistant
Primary
3167
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6613
—
SC
Enumeration date
10/15/2018
Last updated
06/30/2021
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