MEDICARE: DEBORAH J DAVIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	12761	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598737678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH J DAVIS MD

Provider Business Mailing Address
First Line	:	1228 HARDEN ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-1800
Country	:	US
Telephone Number	:	803-744-0540
Fax Number	:	803-744-0542

Provider Business Practice Location Address
First Line	:	1228 HARDEN ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-1800
Country	:	US
Telephone Number	:	803-744-0540
Fax Number	:	803-744-0542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	03/24/2011

Similar Medicare Providers

1215416870 — KATIE BRAVE
Practice Location Address:

1228 HARDEN ST STE B
COLUMBIA, SC
29204-1800

Practice Phone: 803-748-7002
Practice Fax: 803-252-5259

1346249430 — EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Practice Location Address:

1228 HARDEN ST
COLUMBIA, SC
29204-1800

Practice Phone: 803-733-5969
Practice Fax: 803-753-5591

1841265824 — MRS. KATHLEEN M MOSER FNP
Practice Location Address:

1228 HARDEN ST
COLUMBIA, SC
29204-1800

Practice Phone: 803-733-5969
Practice Fax: 803-748-9953

1629020037 — DR. ERIC M SCHLUETER MD
Practice Location Address:

1228 HARDEN ST , EAU CLAIRE COOPERATIVE HEALTH CENTERS
COLUMBIA, SC
29204-1800

Practice Phone: 803-733-5969
Practice Fax: 803-748-9953

1194758243 — DR. ABOAGYE AGYENIM - BOATENG MD
Practice Location Address:

1228 HARDEN ST
COLUMBIA, SC
29204-1800

Practice Phone: 803-744-0550
Practice Fax: 803-744-0532

1982709069 — TOWANNA SHANETT-LANCE ENOCH NP-C
Practice Location Address:

1228 HARDEN ST STE C
COLUMBIA, SC
29204-1800

Practice Phone: 803-748-1184
Practice Fax: 803-748-1185

Directions to “ DEBORAH J DAVIS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.