Individual
TERRY L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MEMORIAL DR STE F, SENECA, SC 29672
(864) 885-7758
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31004
SC
208M00000X
Hospitalist Physician
Primary
31004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310041
—
SC
01
—
P01256140
RR MEDICARE
SC
Enumeration date
06/20/2008
Last updated
05/19/2021
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