Individual
MARGARET RUTH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E MAIN ST, SUITE 12, SPARTANBURG, SC 29307-1711
(864) 560-9260
(864) 560-9265
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
25138
SC
207Q00000X
Family Medicine Physician
LL25138
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251382
—
SC
01
—
P01266652
RAILROAD MEDICARE
SC
01
—
SC12915193
MEDICARE PIN
SC
01
—
SC12916067
MEDICARE PIN
SC
01
—
SC12916121
MEDICARE PIN
SC
01
—
SC1291J577
MEDICARE PIN
SC
Enumeration date
11/08/2009
Last updated
03/13/2020
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