Davis, Jeremy Elliott

Davis, Jeremy Elliott is an individual health care provider with primary practice located at 298 Memorial Dr , Seneca SC 29672-9443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Davis, Jeremy Elliott can be contacted via phone (864) 885-7758.

Contact Information

Primary practice address
298 Memorial Dr Seneca SC 29672-9443
Fax: (864) 885-7749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38151 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 38151 South Carolina

Profile Details

NPI number 1831465764
LBN Legal business name Davis, Jeremy Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated May 24th, 2021 - about 3 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 1831465764 NPPES
South Carolina MEDICAID 381517

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