Davis, Charles M

Davis, Charles M is an individual health care provider with primary practice located at 1304 W Bobo Newsom Hwy , Hartsville SC 29550-4710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davis, Charles M can be contacted via phone (843) 339-4790.

Contact Information

Primary practice address
1304 W Bobo Newsom Hwy Hartsville SC 29550-4710
Phone: (843) 339-4790
Fax: (843) 339-4791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MMD5688MD South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 056888 South Carolina

Profile Details

NPI number 1447240171
LBN Legal business name Davis, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Mar 21st, 2024 - about 9 months 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 1447240171 NPPES
South Carolina MEDICAID 056888

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