Daniel David Divilbiss
Family Doctor Family Doctor - Sports Medicine
155 Academy Ave
Greenwood
, South Carolina 29646-3869
Daniel David Divilbiss
Family Doctor Family Doctor - Sports Medicine
155 Academy Ave
Greenwood
, South Carolina 29646-3869
(864) 725-4883
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Daniel David Divilbiss
- 155 Academy Ave
- Greenwood, SC
- Zip : 29646-3869
- Fax : (864) 725-4883
- Phone : (864) 725-4865
Second Address
- Daniel David Divilbiss
- 155 Academy Ave
- Greenwood, SC
- Zip : 29646-3869
- Fax : (864) 725-4883
- Phone : (864) 725-4865
Reviews
FAQs
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What type of doctor is Daniel David Divilbiss
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Is Daniel David Divilbiss a sole practitioner?
Is Daniel David Divilbiss accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 27947 | SC |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 27947 | SC |
National Provider Identifier
| NPI | 1316979982 |
|---|---|
| Provider Name | Daniel David Divilbiss |
| First Address | Greenwood, SC 29646-3869 |
| Second Address | Greenwood, SC 29646-3869 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 21/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AA2680 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.