Individual
DR. JUSTIN BRIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7025
(864) 560-7388
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32542
SC
207P00000X
Emergency Medicine Physician
MT190745
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325428
—
SC
05
—
5916432
—
NC
Enumeration date
11/19/2007
Last updated
12/17/2020
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