| Dr Thomas West Davis, MD | |
|
510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948-6334 | |
| (618) 997-6800 | |
| (618) 998-9124 |
| Full Name | Dr Thomas West Davis |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 510 Lincoln Dr, Herrin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295842870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | (Illinois) | Primary |
| Entity Name | Southern Orthopedic Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20040427000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas West Davis, MD 510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948-6334 Ph: (618) 997-6800 | Dr Thomas West Davis, MD 510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948-6334 Ph: (618) 997-6800 |
Dr. James Michael Davis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. John B Wood, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Robert J Golz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Ave, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Steven D Young, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Mr. Jeremy Dale Palmer, PAC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6810 Fax: 618-998-9124 | |
Donald David Davis Iii, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 Lincoln Drive, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |