Individual
DR. QUILLIN G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2575
(803) 791-2577
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
23830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238308
—
SC
Enumeration date
02/01/2007
Last updated
06/14/2021
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