Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2018-01210 | NC |
N | 207X00000X | Orthopaedic Surgeon | 35711 | SC |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35711 | SC |
NPI | 1174961155 |
---|---|
Provider Name | Dr. Dane Nicholas Daley |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 22/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0397730007 | NSC # (01) | NC |
1174961155 | (05) | NC |
NC3429 | (05) | SC |