Individual
DR. IAN JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2720 SUNSET BOULEVARD, WEST COLUMBIA, SC 29169-0004
(803) 791-2480
(803) 936-4102
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002413
GA
208M00000X
Hospitalist Physician
Primary
82985
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02413
RESIDENCY TRAINING PERMIT
GA
Enumeration date
06/28/2007
Last updated
10/27/2020
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