Individual
BARRY RODGERS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Contact information
Practice address
890 W FARIS RD, SUITE 550, GREENVILLE, SC 29605-4253
(864) 455-6800
(864) 455-6825
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13632
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136329
—
SC
01
—
3038096
CIGNA
SC
01
—
576007863100
BCBS OF SC
SC
01
—
5910134
AETNA
SC
01
—
780002049
RR MEDICARE
SC
Enumeration date
06/06/2006
Last updated
01/26/2018
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