Davis, Mark A
Davis, Mark A is an individual health care provider with primary practice located at 2033 Medical Park Drive , Newberry SC 29108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Mark A can be contacted via phone (803) 276-5188.Contact Information
Primary practice address
2033 Medical Park Drive
Newberry SC 29108
Phone: (803) 276-5188
Fax: (803) 276-9317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10491 | South Carolina |
Profile Details
| NPI number | 1457465916 |
|---|---|
| LBN Legal business name | Davis, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | May 13th, 2011 - about 14 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 | 1457465916 | NPPES |
| South Carolina | MEDICAID | 6190 |
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