Individual
RYAN CHRISTOPHER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
1 INDEPENDENCE PT, ST. 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36146
SC
207P00000X
Emergency Medicine Physician
430057
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103754
BLUE CROSS
KS
05
—
200001710C
—
KS
05
—
5907373
—
NC
05
—
Q0110J
—
SC
Enumeration date
07/07/2006
Last updated
12/17/2020
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