Davis, Amanda S

Davis, Amanda S is an individual health care provider with primary practice located at 2000 E Greenville St Suite 3700, Anderson SC 29621-1580. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Davis, Amanda S can be contacted via phone (864) 512-1475.

Contact Information

Primary practice address
2000 E Greenville St Suite 3700 Anderson SC 29621-1580
Phone: (864) 512-1475
Fax: (864) 512-1930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT190771 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32866 South Carolina

Profile Details

NPI number 1013123371
LBN Legal business name Davis, Amanda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated May 20th, 2014 - about 10 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 1013123371 NPPES
South Carolina MEDICAID 328666
South Carolina Other P00963295

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