Provider Demographics
NPI:1194773713
Name:RAWL, DANA ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:ANTHONY
Last Name:RAWL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:114 GATEWAY CORPORATE BLVD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9740
Mailing Address - Country:US
Mailing Address - Phone:803-865-4923
Mailing Address - Fax:803-865-4925
Practice Address - Street 1:114 GATEWAY CORPORATE BLVD
Practice Address - Street 2:SUITE 430
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9740
Practice Address - Country:US
Practice Address - Phone:803-865-4923
Practice Address - Fax:803-865-4925
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2020-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC114332083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD18272Medicare UPIN