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Individual
BARRY RODGERS DAVIS
Active
Individual
BARRY RODGERS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13632
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136329
—
SC
01
—
3038096
CIGNA
SC
01
—
576007863100
BCBS OF SC
SC
01
—
5910134
AETNA
SC
01
—
780002049
RR MEDICARE
SC
Enumeration date
06/06/2006
Last updated
01/26/2018
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