Davis, Lucy Green

Davis, Lucy Green is an individual health care provider with primary practice located at 899 Island Park Dr Ste 200, Daniel Island SC 29492-8112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Lucy Green can be contacted via phone (843) 856-6402.

Contact Information

Primary practice address
899 Island Park Dr Ste 200 Daniel Island SC 29492-8112
Phone: (843) 856-6402
Fax: (843) 216-5068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23608 South Carolina

Profile Details

NPI number 1427015171
LBN Legal business name Davis, Lucy Green
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 6th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427015171 NPPES
South Carolina Other P00023765 MEDICARE RAIL ROAD
South Carolina MEDICAID 236088 MEDICARE RAIL ROAD

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