Davis, Mark A
Davis, Mark A is an individual health care provider with primary practice located at 2611 Forest Dr Ste 200 , Columbia SC 29204-2371. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davis, Mark A can be contacted via phone (803) 779-3263.Contact Information
Primary practice address
2611 Forest Dr Ste 200
Columbia SC 29204-2371
Phone: (803) 779-3263
Fax: (803) 779-3207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2841 | South Carolina |
Profile Details
| NPI number | 1073586186 |
|---|---|
| LBN Legal business name | Davis, Mark A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Apr 20th, 2018 - about 6 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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