Organization
WELLSPRING FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON DANIELS MD (MEDICAL DOCTOR)
(803) 865-9655
Entity
Organization
Contact information
Practice address
110 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 865-9655
(803) 865-9653
Mailing address
74 POLO RD, COLUMBIA, SC 29223-2806
(803) 865-9655
(803) 865-9653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21823
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218231
—
SC
Enumeration date
04/17/2007
Last updated
12/05/2025
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