MEDICARE: DAVID L. OLIVER 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	12391	SC
2	207L00000X	Anesthesiology Physician	12391	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	:	1114996881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L. OLIVER MD

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	803-434-6412
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 RICHLAND MEDICAL PARK DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6863
Country	:	US
Telephone Number	:	803-434-6151
Fax Number	:	803-296-5137

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	03/09/2021

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Directions to “ DAVID L. OLIVER MD” Practice Location

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