DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAN ROBERT BODISON JR., MD

Active

Pediatrics · COLUMBIA, SC

Registration Details

NPI Number
1215937610
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2005 (20.735208076483 yrs)
Last Updated
Jun 3, 2011
License
19113 (SC)

Practice Information

Address
4605 MONTICELLO RD
EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC, 292034156
Browse SC providers · Browse ZIP 29203
Phone
8032527001
Fax
8032525219
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in COLUMBIA, SC

Name Credential NPI
DR. RAGIN MONTEITH M.D. 1215936935
DR. STUART ARNIM HAMILTON MD 1215937784
DR. KIMBERLY HIGHTOWER M.D. 1144220559
DR. ANDREA MARIE LAZARO MD 1336132075
MRS. RUBY M ALBERT MD 1295721009
LAURA BARNHART ALBERG M.D. 1720075393
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.