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DR. BRANDON S DAVIS M.D.

Physicians Internal Medicine

Provider NPI: 1285605121

Provider Information:
DR. BRANDON S DAVIS M.D.
Gender: M
Not Sole Proprietor

Practice Location:
100 E WOOD ST STE. 401 SPARTANBURG, SC 29303-3004 US
Tel: 864-560-5851  Fax: 864-560-7312

Business Mailing Address:
PO BOX 743070  ATLANTA, GA 30374-3070 US
Tel: 864-560-4304  Fax: 864-560-4413

NPI Information:
NPI: 1285605121
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XPhysicians
Internal Medicine
SC23421
Y208M00000XPhysicians
Hospitalist
SC23421

Other Provider Identifiers:

IssuerNumberStateType
MEDICAREAA03883365SC01
RAILROAD MEDICAREP01101450SC01
MEDICAREAA03885019SC01
AETNA3554611SC01
MEDCOSTD5536SC01
234213SC05
89067FWNC05
MEDICAREAA03889068SC01
MEDICAREAA03889225SC01



American Medical Association 2012 taxonomy code information

Code: 208M00000X

Type:

Classification:



Definition:



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