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Individual
DR. BRANDON SCOTT DAVIS
Active
Individual
DR. BRANDON SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23421
SC
208M00000X
Hospitalist Physician
Primary
23421
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234213
—
SC
01
—
3554611
AETNA
SC
05
—
89067FW
—
NC
01
—
AA03883365
MEDICARE
SC
01
—
AA03885019
MEDICARE
SC
01
—
AA03889068
MEDICARE
SC
01
—
AA03889225
MEDICARE
SC
01
—
D5536
MEDCOST
SC
01
—
P01101450
RAILROAD MEDICARE
SC
Enumeration date
01/30/2006
Last updated
10/28/2023
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