Individual
DR. GREGORY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(843) 497-5929
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
(843) 399-0123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012-01100
NC
207P00000X
Emergency Medicine Physician
Primary
MD2019-0084
NM
Other
Enumeration date
08/01/2006
Last updated
05/06/2020
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