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Contact Information

MARK A DAVIS, MD
2033 MEDICAL PARK DRIVE
NEWBERRY, SC29108
 Phone: 803-276-5188
 Fax: 803-276-9317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK A DAVIS · (Male)

NPI Number 1457465916
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 05/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 10491
  • SC Medicaid 6190
Hospital affiliation(s)
  • NEWBERRY COUNTY MEMORIAL HOSPITAL - (Acute Care)
    2669 KINARD ST PO BOX 497
    NEWBERRY, SC 29108
  • PALMETTO HEALTH RICHLAND - (Acute Care)
    5 RICHLAND MEDICAL PARK
    COLUMBIA, SC 29203
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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