Davis, David R

Davis, David R is an individual health care provider with primary practice located at 1021 Medical Cir #100, Myrtle Beach SC 29572-4608. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Davis, David R can be contacted via phone (843) 692-1062.

Contact Information

Primary practice address
1021 Medical Cir #100 Myrtle Beach SC 29572-4608
Phone: (843) 692-1062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2255 South Carolina

Profile Details

NPI number 1609820588
LBN Legal business name Davis, David R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 29th, 2016 - about 9 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 1609820588 NPPES
South Carolina MEDICAID AN0581

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