Organization
DR. N.W. DAVIS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORDEN W DAVIS SR. O.D. (PRESIDENT)
(864) 489-6593
Entity
Organization
Contact information
Practice address
300 N LOGAN ST, GAFFNEY, SC 29341-2320
(864) 489-6593
(864) 489-5040
Mailing address
PO BOX 490, GAFFNEY, SC 29342-0490
(864) 489-6593
(864) 489-5040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D04369
—
SC
05
—
DM0293
—
SC
Enumeration date
03/16/2006
Last updated
06/18/2008
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