Provider Demographics
NPI:1609860527
Name:DAILY, LINDA C (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:C
Last Name:DAILY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 W MEETING ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2246
Mailing Address - Country:US
Mailing Address - Phone:803-285-7414
Mailing Address - Fax:803-283-4329
Practice Address - Street 1:1025 W MEETING ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2204
Practice Address - Country:US
Practice Address - Phone:803-285-7414
Practice Address - Fax:803-283-4329
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0305207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCE1315OtherMEDICARE RAILROAD GROUP #
SCGP0641Medicaid
SC003052Medicaid
SCGP0641Medicaid
SC423876OtherRHC MEDICARE INDIANLAND
SCRHC211OtherRHC MEDICAID INDIANLAND
SC003052Medicaid
SCRHC127OtherRHC MEDICAID LANCASTER
SC4754Medicare PIN