Individual
DR. BRANDON SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23421
SC
208M00000X
Hospitalist Physician
Primary
23421
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234213
—
SC
01
—
3554611
AETNA
SC
05
—
89067FW
—
NC
01
—
AA03883365
MEDICARE
SC
01
—
AA03885019
MEDICARE
SC
01
—
AA03889068
MEDICARE
SC
01
—
AA03889225
MEDICARE
SC
01
—
D5536
MEDCOST
SC
01
—
P01101450
RAILROAD MEDICARE
SC
Enumeration date
01/30/2006
Last updated
10/28/2023
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