MEDICARE: DANIEL B WARD JR. 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
1	207N00000X	Dermatology Physician	22672	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00145278	OTHER	SC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AA0265	OTHER	SC	PIN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306819990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL B WARD JR. M.D.

Provider Business Mailing Address
First Line	:	8208 DEVON CT
Second Line	:	SUITE B
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-4178
Country	:	US
Telephone Number	:	186-698-5337
Fax Number	:	843-839-2464

Provider Business Practice Location Address
First Line	:	8208 DEVON CT
Second Line	:	SUITE B
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-4178
Country	:	US
Telephone Number	:	866-985-3376
Fax Number	:	843-839-2464

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/07/2023

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