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NPI Code Detail

MEDICARE: WILLIAM L. DAVIS MA

MEDICARE: WILLIAM L. DAVIS MA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1023166352
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM L. DAVIS MA
Provider Business Mailing Address
First Line : PO BOX 11921
Second Line :
City : COLUMBIA
State : SC
Zip : 29211-1921
Country : US
Telephone Number : 803-935-5570
Fax Number : 803-935-5566
Provider Business Practice Location Address
First Line : 2100 BULL ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2104
Country : US
Telephone Number : 803-935-5570
Fax Number : 803-935-5572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/08/2007

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Directions to “ WILLIAM L. DAVIS MA” Practice Location

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