Individual
TIMOTHY DANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 SE MAIN ST, SUITE 220, SIMPSONVILLE, SC 29681-3247
(864) 454-7422
(864) 454-6605
Mailing address
ONE INDEPENDENCE POINTE, SUITE 212, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27363
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273634
—
SC
01
—
P00866301
RR MEDICARE
SC
Enumeration date
02/07/2006
Last updated
05/06/2011
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