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BRIAN SAMUEL DANTZLER MD

Allergy

Charleston, South Carolina

Provider NPI: 1861438699

Provider Information:
 BRIAN SAMUEL DANTZLER MD


Practice Location:
46 MARKFIELD DR SUITE A CHARLESTON, SC 29407 US
Tel: 843-556-7048  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
SC007053

Other Provider Identifiers:

IssuerNumberStateType
MEDCOST189320SC01
UNITED HEALTH CARE070531SC01
MEDICARE PTANB922437953SC01
070531SC05
MEDICARE PTANB922435238SC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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