Physician Compare National (NPI:1902812910)

HEALTHCARE PROVIDER: DONNA C DAVIS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902812910
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688758576
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200521001708
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAVIS
	Individual professional last name
Provider First Name	DONNA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	107 SEAGRASS STATION RD
	Group Practice or individual's line 1 address
City	BLUFFTON
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	299109549
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8475629505
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	510058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAMDEN CLARK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y