Organization
PULMONARY DISEASES CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL K. GAME MD (PRESIDENT)
(843) 766-6646
Entity
Organization
Contact information
Practice address
1866 RAOUL WALLENBERG BLVD, SUITE B, CHARLESTON, SC 29407-3545
(843) 766-6646
(843) 766-6640
Mailing address
PO BOX 80054, CHARLESTON, SC 29416-0054
(843) 766-6646
(843) 766-6640
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548324551
MEDICARE GROUP NUMBER
SC
05
—
GP3435
—
SC
Enumeration date
12/21/2006
Last updated
03/11/2014
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