Organization
DANIEL PISTONE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL NELSON PISTONE M.D. (OWNER)
(843) 234-2335
Entity
Organization
Contact information
Practice address
3185 WILDHORSE DR, CONWAY, SC 29526-7817
(843) 234-2335
Mailing address
PO BOX 656, TABOR CITY, NC 28463-0656
(843) 234-2335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26858
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003467
CIGNA
SC
01
—
9344735
PRIVATE HEALTHCARE
SC
01
—
D9836
MEDCOST
SC
05
—
GP4324
—
SC
05
—
N01445
—
SC
Enumeration date
01/19/2006
Last updated
07/28/2008
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