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Individual

THOMAS ALLAN DAVIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
701 GROVE RD, GREENVILLE, SC 29605
(864) 455-5198
(864) 455-5474
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-5198
(864) 455-5474

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO210953
OR
207P00000X
Emergency Medicine Physician
Primary
LL52022
SC

Other

Enumeration date
06/12/2018
Last updated
09/19/2023
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