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NPI Code Detail

MEDICARE: DANIEL EATON LEE M.D.

MEDICARE: DANIEL EATON LEE M.D.
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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician14538SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447296793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL EATON LEE M.D.
Provider Business Mailing Address
First Line : 3150 HIGHWAY 153
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-9498
Country : US
Telephone Number : 864-295-1231
Fax Number : 864-295-9927
Provider Business Practice Location Address
First Line : 3150 HIGHWAY 153
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-9498
Country : US
Telephone Number : 864-295-1231
Fax Number : 864-295-0095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 08/12/2019

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