MEDICARE: DANIEL GLODENER 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	LL92683	SC

General Provider Information

NPI Number	:	1164124210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL GLODENER MD

Provider Business Mailing Address
First Line	:	169 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 ELLIS OAK DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-3089
Country	:	US
Telephone Number	:	843-792-3451
Fax Number	:

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

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	06/26/2024

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