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General NPI Number Information
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NPI Number | 1588608483
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Entity Type | Individual
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Provider Name | JOHN PERRY DAVIS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2270 ASHLEY CROSSING DR STE 170
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City | CHARLESTON
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State | SC
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Zip | 29414
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Country | US
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Telephone | 843-763-3700
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Fax | 843-763-3714
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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Fax | 843-724-2440
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15341
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License Number State | SC
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