Individual
DANIEL J. BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 FAIRCHILD ST STE 170, DANIEL ISLAND, SC 29492-7602
(803) 339-1563
Mailing address
115 FAIRCHILD ST STE 170, DANIEL ISLAND, SC 29492-7602
(803) 339-1563
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9400240
NC
2084P0800X
Psychiatry Physician
Primary
MD37608
SC
Other
Enumeration date
01/10/2007
Last updated
05/05/2022
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