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Individual

DR. ALAN BOYER MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7510 NORTHFOREST DRIVE, NORTH CHARLESTON, SC 29420
(843) 572-1600
(843) 572-1795
Mailing address
7510 NORTHFOREST DRIVE, NORTH CHARLESTON, SC 29420
(843) 572-1600
(843) 572-1795

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01035992
IN
207K00000X
Allergy & Immunology Physician
Primary
MMD.34454TL
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000174151
ANTHEM
IN
05
100116300A
IN
Enumeration date
07/19/2006
Last updated
04/27/2012
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