Individual
DOROTHY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6439 GARDNERS FERRY RD, COLUMBIA, SC 29290-1639
(803) 424-0850
Mailing address
POB 9442, COLUMBIA, SC 29209-9442
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8937
SC
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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