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Individual

DANIEL ALVES NEIVA BARBOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 EHRHARDT STREET MSC 865, CHARLESTON, SC 29425-0001
(843) 792-0192
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MMD.90174LL
SC
2084P0800X
Psychiatry Physician
MMD.90174LL
SC

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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