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NPI Code Detail

MEDICARE: DANNY FORSYTHE MD

MEDICARE:   DANNY  FORSYTHE  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
1207L00000XAnesthesiology PhysicianMD061797LPA
2207L00000XAnesthesiology Physician83665SC

Other Identifiers

General Provider Information

NPI Number : 1558347534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY FORSYTHE MD
Provider Business Mailing Address
First Line : PO BOX 603484
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3484
Country : US
Telephone Number : 803-765-1838
Fax Number :
Provider Business Practice Location Address
First Line : 2095 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5733
Country : US
Telephone Number : 843-402-1436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 05/13/2024

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