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Contact Information

JOHN M DAVIS, MD
849 82ND PKWY
MYRTLE BEACH, SC29572-4614
 Phone: 843-497-6348
 Fax: 843-497-6351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN M DAVIS · (Male)

NPI Number 1649245358
Status Active
Credentials MD
Entity Individual
Enumeration date 02/17/2006
Last updated 06/10/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06665400
  • SC License # 38560
  • SC Medicaid 038560200
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
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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