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William Daniel Sanchez Jr., IDC

Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Beaufort, SC. Individual provider (NPI-1).

NPI number1083897656
StatusActive
Last updated in NPPESJun 4, 2008

Details

NPI
1083897656
Entity type
Individual (NPI-1)
Name
Mr. William Daniel Sanchez Jr.
Credential
IDC
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 6, 2007
Last updated
Jun 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient101639309SCYes

Practice location

1 Pinckney Blvd
Beaufort, SC 29902-6122

Phone 843-228-2318

Mailing address

1 Pinckney Blvd
Beaufort, SC 29902-6122

Phone 843-228-2318

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