Individual
DANIEL MULLIGAN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1033 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7156
(843) 723-6111
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3240
SC
363A00000X
Physician Assistant
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3363PA
—
SC
Enumeration date
05/13/2019
Last updated
05/19/2023
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