Provider Demographics
NPI:1205932498
Name:DANIEL ISLAND FAMILY CARE
Entity type:Organization
Organization Name:DANIEL ISLAND FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-856-1771
Mailing Address - Street 1:900 ISLAND PARK DR STE 202B
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492
Mailing Address - Country:US
Mailing Address - Phone:843-856-1771
Mailing Address - Fax:
Practice Address - Street 1:900 ISLAND PARK DR STE 202B
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7567
Practice Address - Country:US
Practice Address - Phone:843-856-1771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13966261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care