Davis, Alisha Janette

Davis, Alisha Janette is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150-4949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Alisha Janette can be contacted via phone (803) 774-9680.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150-4949
Phone: (803) 774-9680
Fax: (803) 434-3955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52078 South Carolina

Profile Details

NPI number 1922594662
LBN Legal business name Davis, Alisha Janette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2018
Last updated Feb 6th, 2024 - about 2 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 1922594662 NPPES
South Carolina MEDICAID 520788
South Carolina Other SCJ6985019

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