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Individual

CHRISTOPHER DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
34 FOUNDRY HILL RD, CHERAW, SC 29520-2500
(877) 848-1463
Mailing address
34 FOUNDRY HILL RD, CHERAW, SC 29520-2500
(877) 848-1463

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17273
SC
207Q00000X
Family Medicine Physician
Primary
17273
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172734
SC
01
184433
UNISON
SC
01
20019649
SELECT HEALTH
SC
05
890065YN
NC
Enumeration date
06/16/2005
Last updated
04/22/2008
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