Individual
DR. DANIEL STEWART LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605
(864) 455-7899
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
G49088
CA
207P00000X
Emergency Medicine Physician
Primary
52150
SC
207Q00000X
Family Medicine Physician
52150
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050394
BLUE CROSS
CA
01
—
95-1683892
OTHER
CA
01
—
G49088
CALIFORNIA LICENSE
CA
05
—
HSC30394F
—
CA
05
—
ZZT40394F
—
CA
01
—
ZZZ53994Z
BLUE SHIELD
CA
01
—
ZZZA56032
BLUE SHIELD
CA
Enumeration date
09/20/2006
Last updated
08/30/2018
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