Davidson, Ricky Garland

Davidson, Ricky Garland is an individual health care provider with primary practice located at 9 Mcelhaney Rd , Travelers Rest SC 29690-1734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davidson, Ricky Garland can be contacted via phone (864) 834-3192.

Contact Information

Primary practice address
9 Mcelhaney Rd Travelers Rest SC 29690-1734
Phone: (864) 834-3192
Fax: (864) 241-9234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 024159 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 87801 South Carolina

Profile Details

NPI number 1942246707
LBN Legal business name Davidson, Ricky Garland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942246707 NPPES
Louisiana MEDICAID 1571245
Louisiana MEDICAID PENDING

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