Healthcare Provider Details

I. General information

NPI: 1093275653
Provider Name (Legal Business Name): DANIEL ARCE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 GARDNER RD STE 112
CHARLESTON SC
29407-5768
US

IV. Provider business mailing address

PO BOX 603484
CHARLOTTE NC
28260-3484
US

V. Phone/Fax

Practice location:
  • Phone: 843-723-3441
  • Fax:
Mailing address:
  • Phone: 803-765-1838
  • Fax: 803-765-1732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number90031
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: