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NPI 1689135584

IndividualActive

Carmelita Mcdaniels

NPI 1689135584 · Specialist · Columbia, SC

Provider details

NPI number: 1689135584
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 32456 (SC)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 32456 (SC)
Other Service Providers

Practice location

108 Columbia Northeast Dr

Columbia, SC 29223-6433

Phone: (803) 821-8497

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

1120 Menlo Dr

Columbia, SC 29210-6552

Registry dates

Enumerated: 2019-03-26
Last updated: 2019-03-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Carmelita Mcdaniels — NPI 1689135584, Columbia, SC | NPI Central