Provider Demographics
NPI:1114229465
Name:PLAYER, DANIELA C (PA)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:C
Last Name:PLAYER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 N HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1532
Mailing Address - Country:US
Mailing Address - Phone:864-226-2660
Mailing Address - Fax:864-226-2665
Practice Address - Street 1:2126 N HIGHWAY 81
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621
Practice Address - Country:US
Practice Address - Phone:864-226-2660
Practice Address - Fax:864-226-2665
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL1578363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant