Provider Demographics
NPI:1235219916
Name:GALLAGHER, DANIEL JOSEPH III (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:GALLAGHER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 RUTLEDGE ST
Mailing Address - Street 2:MSC 550
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-5500
Mailing Address - Country:US
Mailing Address - Phone:843-792-0719
Mailing Address - Fax:
Practice Address - Street 1:135 RUTLEDGE ST
Practice Address - Street 2:MSC 550
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-5500
Practice Address - Country:US
Practice Address - Phone:843-792-0719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101236483207Y00000X
SC313887207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology