Organization
DONEN DAVIS PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONEN DAVIS M.D. (OWNER)
(803) 929-1901
Entity
Organization
Contact information
Practice address
1850 LAUREL ST, SUITE B, COLUMBIA, SC 29201-2627
(803) 929-1901
(803) 929-1916
Mailing address
1850 LAUREL ST, SUITE B, COLUMBIA, SC 29201-2627
(803) 929-1901
(803) 929-1916
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
21726
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H575067949
MEDICARE
SC
Enumeration date
02/05/2008
Last updated
10/11/2012
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