MEDICARE: DANIEL ISLAND FAMILY MEDICINE LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1568197234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL ISLAND FAMILY MEDICINE LLC

Provider Business Mailing Address
First Line	:	297 SEVEN FARMS DR STE 202
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8721
Country	:	US
Telephone Number	:	843-936-4470
Fax Number	:	833-464-3755

Provider Business Practice Location Address
First Line	:	297 SEVEN FARMS DR STE 202
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8721
Country	:	US
Telephone Number	:	843-936-4470
Fax Number	:	833-464-3755

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	EDWARD J GIOVE
Credential	:	DO
Telephone Number	:	843-936-4470

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	05/06/2026

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