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Individual

DR. GAVIN WADE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4723 SUNSET BLVD STE A, LEXINGTON, SC 29072-9151
(803) 999-3937
Mailing address
4723 SUNSET BLVD STE A, LEXINGTON, SC 29072-9151
(803) 999-3937

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
72543
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215161153
NPI
GA
Enumeration date
05/06/2009
Last updated
04/14/2026
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