Individual
MRS. ANN H DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
366 MARKET ST, SENECA, SC 29678-0926
(864) 364-6380
(833) 853-9422
Mailing address
366 MARKET ST, SENECA, SC 29678-0926
(864) 364-6380
(833) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036127556
IL
207Q00000X
Family Medicine Physician
Primary
2017-02434
NC
207Q00000X
Family Medicine Physician
Primary
89197
SC
390200000X
Student in an Organized Health Care Education/Training Program
125054725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400166748
MEDICARE PTAN
IL
01
—
SCP034A
MEDICARE
SC
Enumeration date
07/18/2008
Last updated
04/08/2026
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