Davies, John Wallace
Davies, John Wallace is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davies, John Wallace can be contacted via phone (864) 512-1970.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19493 | South Carolina |
Profile Details
| NPI number | 1740243351 |
|---|---|
| LBN Legal business name | Davies, John Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Oct 18th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740243351 | NPPES |
| South Carolina | MEDICAID | T35879 | |
| South Carolina | MEDICAID | 89066GY |
Popular Providers
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Rider, Ryan Kevin
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