| Dr Larry Steve Davidson, MD | |
|
109 Montgomery Dr, Anderson, SC 29621-3333 | |
| (864) 224-5700 | |
| (864) 226-0680 |
| Full Name | Dr Larry Steve Davidson |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 109 Montgomery Dr, Anderson, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154381465 | NPI | - | NPPES |
| P00404250 | Other | RAILROAD MEDICARE | |
| P01616429 | Other | SC | RR MEDICARE |
| 891273N | Medicaid | NC | |
| N00460 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 9400460 (North Carolina) | Secondary |
| 207T00000X | Neurological Surgery | MD16408 (South Carolina) | Primary |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639102270 PECOS PAC ID: 1951215243 Enrollment ID: O20040130000302 |
| Entity Name | Hartsville Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027 |
| Entity Name | Grand Strand Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398512 PECOS PAC ID: 0648451344 Enrollment ID: O20110301000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Steve Davidson, MD 109 Montgomery Dr, Anderson, SC 29621-3333 Ph: (864) 224-5700 | Dr Larry Steve Davidson, MD 109 Montgomery Dr, Anderson, SC 29621-3333 Ph: (864) 224-5700 |
Dr. Aaron C Macdonald, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 109 Montgomery Dr, Anderson, SC 29621 Phone: 864-512-7190 Fax: 864-226-0680 |