Individual
DR. TODD ELLIS DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 COURTENAY DR # 7100A, MSC 290, CHARLESTON, SC 29425-2900
(843) 876-4261
(843) 876-7232
Mailing address
1673 SEIGNIOUS DR, CHARLESTON, SC 29407-8232
(843) 377-7008
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29638
SC
Other
Enumeration date
01/09/2006
Last updated
01/07/2011
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