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NPI Code Detail

MEDICARE: DANIEL BORKERT MD

MEDICARE: DANIEL BORKERT 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
1207Q00000XFamily Medicine Physician28658SC

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 : 1285651042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL BORKERT MD
Provider Business Mailing Address
First Line : 1809 WADE HAMPTON BLVD
Second Line : STE 120
City : GREENVILLE
State : SC
Zip : 29609-4050
Country : US
Telephone Number : 864-322-4665
Fax Number : 864-232-4716
Provider Business Practice Location Address
First Line : 1809 WADE HAMPTON BLVD
Second Line : SUITE 120
City : GREENVILLE
State : SC
Zip : 29609-4050
Country : US
Telephone Number : 864-322-4665
Fax Number : 864-232-4716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/15/2008

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Directions to “ DANIEL BORKERT MD” Practice Location

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