Individual
DR. GORDON THEODORE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3226 MAYBANK HIGHWAY SUITE 1-A, BARRIER ISLANDS FREE MEDICAL CLINICS, JOHNS ISLAND, SC 29455
(843) 266-9800
Mailing address
7869 GULL BAY DRIVE, AWENDAW, SC 29429
(843) 737-1039
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29885
SC
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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