Davis, John M

Davis, John M is an individual health care provider with primary practice located at 849 82Nd Pkwy , Myrtle Beach SC 29572-4614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Davis, John M can be contacted via phone (843) 497-6348.

Contact Information

Primary practice address
849 82Nd Pkwy Myrtle Beach SC 29572-4614
Phone: (843) 497-6348
Fax: (843) 497-6351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA06665400 New Jersey
Other Service Providers / Specialist 174400000X 38560 South Carolina

Profile Details

NPI number 1649245358
LBN Legal business name Davis, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 10th, 2016 - about 8 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 1649245358 NPPES
South Carolina MEDICAID 038560200

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