| Antonio Tremon Davis, LISW | |
|
3041 Old Eastover Rd, Eastover, SC 29044-8303 | |
| (803) 353-8741 | |
| Not Available |
| Full Name | Antonio Tremon Davis |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 3041 Old Eastover Rd, Eastover, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497325195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17337 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eau Claire Cooperative Health Center, Inc. | 3274434220 | 49 |
| Entity Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Tremon Davis, LISW 3041 Old Eastover Rd, Eastover, SC 29044-8303 Ph: (803) 353-8741 | Antonio Tremon Davis, LISW 3041 Old Eastover Rd, Eastover, SC 29044-8303 Ph: (803) 353-8741 |
Zena Boyd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 860 S Carolina Rd, Eastover, SC 29044 Phone: 803-299-6633 | |
Deidra Swails, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 860 S Carolina Rd # 6, Eastover, SC 29044 Phone: 803-394-1479 | |
Alex Ramon Wright, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 860 S Carolina Rd, Eastover, SC 29044 Phone: 803-299-6627 |