Davis, Jerome M.

Davis, Jerome M. is an individual health care provider with primary practice located at 1655 Bernardin Ave Suite 350, Columbia SC 29204-2039. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Davis, Jerome M. can be contacted via phone (803) 865-4780.

Contact Information

Primary practice address
1655 Bernardin Ave Suite 350 Columbia SC 29204-2039
Phone: (803) 865-4780
Fax: (803) 865-4932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11391 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 11391 South Carolina

Profile Details

NPI number 1053370361
LBN Legal business name Davis, Jerome M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053370361 NPPES
South Carolina Other C606001358 MEDICARE PTAN
South Carolina MEDICAID 113914 MEDICARE PTAN

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