James Stuart McDaniel, MD
Individual provider Active NPI Adult Medicine Physician · Wadmalaw Island, SC
NPI 1770880486 · NPPES record last updated Feb 15, 2011
Key facts
- NPI
- 1770880486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 13063 (GA)
- Practice address
- 1140 Pilot Boy
Wadmalaw Island, SC 29487-6993 - Phone
- (843) 559-7267
- NPI assigned
- Feb 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013063 | GA | MD | Pharmacist |
| 13063 | GA | MD | Adult Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 13063 | GA | Yes |
Addresses
Primary practice location
1140 Pilot Boy
Wadmalaw Island, SC 29487-6993
Mailing address
1140 Pilot Boy Rd.
Wadmalaw Island, SC 29487
Phone (843) 559-7267
Other providers in Wadmalaw Island, SC
- Fetter Health Care Network, Inc.
- Erin Muckenfuss Laroche
- Wakeetha Renee Legare-Brown
- Melinda Leigh McCarter
- Ashley McCloud
- Megan Vision LLC
- Bertha Smalls Middleton
- Mitch Transportation Service LLC
- Brooke Nelson
- Marlene Otero
All providers in Wadmalaw Island, SC · Adult Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.