Individual
TODD DRISCOLL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 FRESHFIELDS DRIVE, SUITE J101, JOHNS ISLAND, SC 29455-6323
(843) 768-4800
(843) 606-8039
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30320
NC
207Q00000X
Family Medicine Physician
Primary
83446
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834468
—
SC
05
—
8927882
—
NC
Enumeration date
03/22/2006
Last updated
01/28/2021
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