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Contact Information

THERESA A DAVILA, PA-C
1506 SPRING ST
GREENWOOD, SC29646-4071
 Phone: 864-725-7900
 Fax: 864-725-7910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for THERESA A DAVILA · (Female)

NPI # 1720211451
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/28/2009
Last updated 06/24/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9110282
  • IL License # 085011269
  • NH License # 1544
  • SC License # 4837
  • TN License # 1761
Hospital affiliation(s)
  • FLORIDA HOSPITAL WATERMAN - (Acute Care)
    1000 WATERMAN WAY
    TAVARES, FL 32778
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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