Individual
DR. WAYNE DAVIS, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 S HIGHWAY 14 STE 1220, GREER, SC 29650-4902
(864) 849-9500
(864) 879-3693
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31945
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319453
—
SC
01
—
AA92516084
MEDICARE PIN
SC
01
—
P01107915
RAILROAD MEDICARE
SC
01
—
SCF2496067
MEDICARE PIN
SC
Enumeration date
06/23/2009
Last updated
01/16/2025
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