Individual
DR. LARRY STEVE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 MONTGOMERY DR, ANDERSON, SC 29621-3333
(864) 224-5700
(864) 226-0680
Mailing address
109 MONTGOMERY DR, ANDERSON, SC 29621-3333
(864) 224-5700
(864) 226-0680
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
9400460
NC
207T00000X
Neurological Surgery Physician
Primary
MD16408
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891273N
—
NC
05
—
N00460
—
SC
01
—
P00404250
RAILROAD MEDICARE
—
01
—
P01616429
RR MEDICARE
SC
Enumeration date
03/23/2006
Last updated
04/19/2016
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