Provider Demographics
NPI:1508203522
Name:SKIPPER, DANIEL CARL (DO)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CARL
Last Name:SKIPPER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 PAMPLICO HWY STE B210
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6064
Mailing Address - Country:US
Mailing Address - Phone:843-664-4314
Mailing Address - Fax:843-664-4340
Practice Address - Street 1:805 PAMPLICO HWY STE B210
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505
Practice Address - Country:US
Practice Address - Phone:843-664-4314
Practice Address - Fax:843-664-4340
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMDO.1684 LL207ZP0102X
SCDO1684207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology