MEDICARE: DARA ANITA JOSIAH-HOWZE 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	2084P0804X	Child & Adolescent Psychiatry Physician	9901214	NC
2	2084P0804X	Child & Adolescent Psychiatry Physician	01052673A	IN
3	2084P0804X	Child & Adolescent Psychiatry Physician	31489	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1063407278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARA ANITA JOSIAH-HOWZE MD

Provider Business Mailing Address
First Line	:	111 CLEBOURNE ST
Second Line	:	SUITE 110
City	:	FORT MILL
State	:	SC
Zip	:	29715-1758
Country	:	US
Telephone Number	:	803-802-1301
Fax Number	:	803-802-1303

Provider Business Practice Location Address
First Line	:	111 CLEBOURNE ST
Second Line	:	SUITE 110
City	:	FORT MILL
State	:	SC
Zip	:	29715
Country	:	US
Telephone Number	:	803-802-1301
Fax Number	:	803-802-1303

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	06/05/2018

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