MEDICARE: DR. DANIEL ALDEN WILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	81571	GA
2	207R00000X	Internal Medicine Physician	91563	SC

General Provider Information

NPI Number	:	1043731193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ALDEN WILLIAMS MD

Provider Business Mailing Address
First Line	:	PO BOX 602108
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8992 UNIVERSITY BLVD FL 3
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-8104
Country	:	US
Telephone Number	:	843-792-1414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	04/16/2024

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