Travis W Davis, MD | |
105 Liberty Blvd, Liberty, SC 29657-1641 | |
(864) 843-9213 | |
Not Available |
Full Name | Travis W Davis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 105 Liberty Blvd, Liberty, 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 |
---|---|---|---|
1669590477 | NPI | - | NPPES |
GP2510 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | LL27933 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 27933 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Greenville, SC | Home health agency |
Cannon Memorial Hospital | Pickens, SC | Hospital |
Anmed Health | Anderson, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cannon Memorial Hospital | 8123930666 | 25 |
Entity Name | Cannon Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750304135 PECOS PAC ID: 8123930666 Enrollment ID: O20031103000506 |
Entity Name | Cannon Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497744254 PECOS PAC ID: 8123930666 Enrollment ID: O20040115000729 |
Entity Name | Cannon Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700890084 PECOS PAC ID: 8123930666 Enrollment ID: O20040315000489 |
Mailing Address | Practice Location Address |
---|---|
Travis W Davis, MD Po Box 919, Pickens, SC 29671-0919 Ph: (864) 897-8286 | Travis W Davis, MD 105 Liberty Blvd, Liberty, SC 29657-1641 Ph: (864) 843-9213 |
Jerome H Waller Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Front St, Liberty, SC 29657 Phone: 864-843-5605 Fax: 864-843-0996 | |
Mark D Walsh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Front St, Liberty, SC 29657 Phone: 864-843-5605 Fax: 864-843-0996 | |
Lori R Carnsew, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Front St, Liberty, SC 29657 Phone: 864-843-5605 Fax: 864-843-0996 | |
Dr. John Randolph, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Liberty Blvd, Liberty, SC 29657 Phone: 864-843-8500 Fax: 864-843-5634 |