Individual
AMANDA S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 E GREENVILLE ST, SUITE 3700, ANDERSON, SC 29621-1580
(864) 512-1475
(864) 512-1930
Mailing address
2000 E GREENVILLE ST, SUITE 3700, ANDERSON, SC 29621-1580
(864) 512-1475
(864) 512-1930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32866
SC
390200000X
Student in an Organized Health Care Education/Training Program
MT190771
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328666
—
SC
01
—
P00963295
RR MEDICARE
SC
Enumeration date
05/15/2007
Last updated
05/20/2014
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