Davis, Gavin Wade
Davis, Gavin Wade is an individual health care provider with primary practice located at 4723 Sunset Blvd Ste A , Lexington SC 29072-9151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davis, Gavin Wade can be contacted via phone (803) 999-3937.Contact Information
Primary practice address
4723 Sunset Blvd Ste A
Lexington SC 29072-9151
Phone: (803) 999-3937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 72543 | Georgia |
Profile Details
| NPI number | 1215161153 |
|---|---|
| LBN Legal business name | Davis, Gavin Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2009 |
| Last updated | Jun 2nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215161153 | NPPES |
| Georgia | Other | 1215161153 | NPI |
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