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Individual

DANIEL R SHUMPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7037 SAINT ANDREWS RD, COLUMBIA, SC 29212-1177
(803) 732-0963
(803) 732-1406
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33574
SC
207Q00000X
Family Medicine Physician
LL33574
SC

Other

Enumeration date
06/30/2011
Last updated
11/11/2020
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