Davis, Dean Eldon

Davis, Dean Eldon is an individual health care provider with primary practice located at 853 N Church St Suite 600, Spartanburg SC 29303-3098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Davis, Dean Eldon can be contacted via phone (864) 583-4556.

Contact Information

Primary practice address
853 N Church St Suite 600 Spartanburg SC 29303-3098
Phone: (864) 583-4556
Fax: (864) 560-0625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13797 South Carolina

Profile Details

NPI number 1952371601
LBN Legal business name Davis, Dean Eldon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 17th, 2020 - about 4 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 1952371601 NPPES
South Carolina Other 195789 MEDCOST
South Carolina MEDICAID 790557R MEDCOST
South Carolina Other AA53843365 MEDCOST
South Carolina MEDICAID 137970 MEDCOST
South Carolina Other 4263370 MEDCOST

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