Healthcare Provider Details

I. General information

NPI: 1710567748
Provider Name (Legal Business Name): NOAH DARGY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WILLIAM H JOHNSON ST STE 100
FLORENCE SC
29506-2771
US

IV. Provider business mailing address

101 WILLIAM H JOHNSON ST STE 100
FLORENCE SC
29506-2771
US

V. Phone/Fax

Practice location:
  • Phone: 843-777-7043
  • Fax: 843-777-7041
Mailing address:
  • Phone: 843-777-7043
  • Fax: 843-777-7041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number97729
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: