Davis, Gordon Theodore

Davis, Gordon Theodore is an sole proprietor health care provider with primary practice located at 3226 Maybank Highway Suite 1-A Barrier Islands Free Medical Clinics, Johns Island SC 29455. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Davis, Gordon Theodore can be contacted via phone (843) 266-9800.

Contact Information

Primary practice address
3226 Maybank Highway Suite 1-A Barrier Islands Free Medical Clinics Johns Island SC 29455
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 29885 South Carolina

Profile Details

NPI number 1932527843
LBN Legal business name Davis, Gordon Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2014
Last updated Mar 29th, 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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