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
Phone: (843) 266-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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