DR. GORDON THEODORE DAVIS (NPI# 1932527843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932527843 |
| Entity Type | Individual |
| Full Name | DR. GORDON THEODORE DAVIS |
| Credential | MD |
| Practice Address |
3226 Maybank Highway Suite 1-a Barrier Islands Free Medical Clinics Johns Island SC 29455 |
| Mailing Address |
7869 Gull Bay Drive Awendaw SC 29429 |
| Practice Telephone | 8432669800 |
| Mailing Telephone | 8437371039 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 29885 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043302656 | Gordon Doyle Davis | Obstetrics & Gynecology | 300 W Clarendon, #100, Phoenix, AZ 85013 | 2006-09-29 |
| 1528096765 | Gordon H Davis | Dentist | 8 Healey Ave, Plattsburgh, NY 12901-2413 | 2006-06-28 |
| 1124153101 | Gordon C Davis | Family Medicine | 10149 Woodhaven Blvd, Ozone Park, NY 11416-2300 | 2007-02-22 |
| 1477641041 | Gordon Bruce Davis | Dentist | 1111 Pacific Ave, Ste 1, Everett, WA 98201-4200 | 2006-10-10 |
| 1164457354 | Gordon Scott Davis | Anesthesiology | 17480 Dallas Pkwy, Suite 125, Dallas, TX 75287-7337 | 2006-07-12 |
| 1578528154 | Gordon Bruce Davis | Pediatrics | 740 Cool Springs Blvd, Suite 140, Franklin, TN 37067-6448 | 2006-04-18 |
| Street Address |
3226 MAYBANK HIGHWAY SUITE 1-A BARRIER ISLANDS FREE MEDICAL CLINICS |
| City | JOHNS ISLAND |
| State | SC |
| Zip Code | 29455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| 1629181011 | Gregory A Hancock | Dentist | 2754 Maybank Hwy, Ste A, Johns Island, SC 29455 | 2006-08-17 |
| Find all providers in zip 29455 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
| 1790138014 | Beaufort-jasper-hampton Comprehensive Health Services Inc. | General Practice | 2210-b Mossy Oaks Rd., Port Royal, SC 29935-1046 | 2016-07-21 |
| 1659726438 | Inspire Medical Services | General Practice | 104 Berkeley Square Ln, Ste 63, Goose Creek, SC 29445-2958 | 2016-04-28 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
Please comment or provide details below to improve the information on DR. GORDON THEODORE DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.