Individual
DAVID G IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-8647
(864) 542-2227
Mailing address
1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-8647
(864) 542-2227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14849
SC
207RI0011X
Interventional Cardiology Physician
14849
SC
207UN0901X
Nuclear Cardiology Physician
14849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148496
—
SC
01
—
38519
MEDCOST PIN
—
01
—
4286089
AETNA PIN
—
05
—
890615V
—
NC
Enumeration date
06/08/2006
Last updated
08/27/2008
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