| Todd Driscoll Davis, MD | |
|
345 Freshfields Drive, Suite J101, Johns Island, SC 29455-6323 | |
| (843) 768-4800 | |
| (843) 606-8039 |
| Full Name | Todd Driscoll Davis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 345 Freshfields Drive, Johns Island, 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 |
|---|---|---|---|
| 1902865447 | NPI | - | NPPES |
| 834468 | Medicaid | SC | |
| 8927882 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30320 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 83446 (South Carolina) | Primary |
| Entity Name | Dlp Western Carolina Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Driscoll Davis, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Todd Driscoll Davis, MD 345 Freshfields Drive, Suite J101, Johns Island, SC 29455-6323 Ph: (843) 768-4800 |
Dr. Andrea Sarah Mendelsohn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3627 Maybank Hwy, Johns Island, SC 29455 Phone: 843-559-3676 Fax: 843-559-9066 | |
Dr. Julia Killingsworth Isom, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1807 Crowne Commons Way, Johns Island, SC 29455 Phone: 843-203-2280 Fax: 843-203-2281 | |
Vanessa Lee Mcpherson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1807 Crowne Commons Way, Johns Island, SC 29455 Phone: 843-203-2280 Fax: 843-203-2281 | |
Dr. Lynn F Feldman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 345 Freshfields Dr, Ste J101, Johns Island, SC 29455 Phone: 843-768-4800 Fax: 843-768-1124 | |
Brian D Dewhirst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1807 Crowne Commons Way, Johns Island, SC 29455 Phone: 843-203-2280 Fax: 843-203-2281 | |
Dr. Daniel J Mcmahon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 345 Freshfields Dr, Ste J101, Johns Island, SC 29455 Phone: 843-768-4800 Fax: 843-768-1124 | |
Dr. Sheela Marisa Bhattacharyya, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 345 Freshfields Dr, Suite J101, Johns Island, SC 29455 Phone: 843-768-4800 Fax: 843-606-8039 |