Richard Moorer Dantzler
NPI #1023034865 in Conway, South Carolina
Provider Information
- NPI Number
- 1023034865
- Entity Type
- Individual
- Name
- Richard Moorer Dantzler
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 164 WACCAMAW MEDICAL PARK DR
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-8903
- Phone
- (843) 347-5060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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