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NPI Code Detail

MEDICARE: BRITTANY DANYALE GIST M.S.

MEDICARE: BRITTANY DANYALE GIST M.S.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor251S00000XSC

General Provider Information

NPI Number : 1558726315
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY DANYALE GIST M.S.
Provider Business Mailing Address
First Line : 201 S HERNDON ST
Second Line :
City : UNION
State : SC
Zip : 29379-2231
Country : US
Telephone Number : 864-429-1656
Fax Number : 864-429-1667
Provider Business Practice Location Address
First Line : 201 S HERNDON ST
Second Line :
City : UNION
State : SC
Zip : 29379-2231
Country : US
Telephone Number : 864-429-1656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2015
Last Update Date : 12/22/2015

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Directions to “ BRITTANY DANYALE GIST M.S.” Practice Location

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