Daniel, Roosevelt G

Daniel, Roosevelt G is an individual health care provider with primary practice located at 545 Sumter Hwy , Bishopville SC 29010-7601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Daniel, Roosevelt G can be contacted via phone (803) 484-5317.

Contact Information

Primary practice address
545 Sumter Hwy Bishopville SC 29010-7601
Phone: (803) 484-5317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27716 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27716 South Carolina

Profile Details

NPI number 1275571846
LBN Legal business name Daniel, Roosevelt G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Oct 10th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275571846 NPPES
South Carolina Other P00906560 RAILROAD MEDICARE PTAN

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