| Ricky Garland Davidson, MD | |
|
9 Mcelhaney Rd, Travelers Rest, SC 29690-1734 | |
| (864) 834-3192 | |
| (864) 241-9234 |
| Full Name | Ricky Garland Davidson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9 Mcelhaney Rd, Travelers Rest, 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 |
|---|---|---|---|
| 1942246707 | NPI | - | NPPES |
| 1571245 | Medicaid | LA | |
| PENDING | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 024159 (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | 87801 (South Carolina) | Primary |
| Entity Name | Wk Louisiana Family Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164464889 PECOS PAC ID: 3375557929 Enrollment ID: O20060202000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Garland Davidson, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Ricky Garland Davidson, MD 9 Mcelhaney Rd, Travelers Rest, SC 29690-1734 Ph: (864) 834-3192 |
Dr. Albert Charles Mina, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 N Poinsett Hwy, Travelers Rest, SC 29690 Phone: 864-834-4151 Fax: 864-834-6145 | |
Kathryn Taylor Adkins, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Mcelhaney Rd, Travelers Rest, SC 29690 Phone: 864-834-3192 Fax: 864-241-9234 | |
Dr. James Porter Mac Millan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 406 N Poinsett Hwy, Travelers Rest, SC 29690 Phone: 864-834-4151 Fax: 864-834-6145 | |
Dr. Gwendolyn Rose Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 N Main St, Travelers Rest, SC 29690 Phone: 864-455-9790 Fax: 864-455-9795 | |
Landrum Irvin Mccarrell Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9 Mcelhaney Rd, Travelers Rest, SC 29690 Phone: 864-834-3192 Fax: 864-241-9234 | |
Tullious Calhoun Stoudemayer Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Mcelhaney Rd, Travelers Rest, SC 29690 Phone: 864-834-3192 Fax: 864-241-9234 | |
Mr. John P Cotter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1588 Geer Hwy, Travelers Rest, SC 29690 Phone: 864-836-1109 Fax: 864-836-6365 |