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NPI Code Detail

MEDICARE: JOSEPH J DAVEY M.D.

MEDICARE: JOSEPH J DAVEY M.D.
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
1207Q00000XFamily Medicine Physician14439SC

Other Identifiers

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

General Provider Information

NPI Number : 1932108230
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH J DAVEY M.D.
Provider Business Mailing Address
First Line : PO BOX 3439
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-0439
Country : US
Telephone Number : 843-839-4447
Fax Number : 843-399-0123
Provider Business Practice Location Address
First Line : 4591 SOCASTEE BLVD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-7209
Country : US
Telephone Number : 843-497-5929
Fax Number : 843-293-1115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 03/12/2015

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