Individual
DR. FREDERICK WILLIAM DANIELS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8120 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-1438
(843) 449-9018
Mailing address
4326 BALDWIN AVE, LITTLE RIVER, SC 29566-8207
(843) 249-7400
(843) 249-7440
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
14524
SC
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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