Jerome M Davis, MD | |
1655 Bernardin Ave, Suite 350, Columbia, SC 29204-2039 | |
(803) 865-4780 | |
(803) 865-4932 |
Full Name | Jerome M Davis |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1655 Bernardin Ave, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053370361 | NPI | - | NPPES |
C606001358 | Other | SC | MEDICARE PTAN |
113914 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 11391 (South Carolina) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 11391 (South Carolina) | Secondary |
Entity Name | Augustine Health Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821051392 PECOS PAC ID: 8628973443 Enrollment ID: O20031204000917 |
Entity Name | Carolina Anesthesiology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851486781 PECOS PAC ID: 9739174301 Enrollment ID: O20040415000149 |
Mailing Address | Practice Location Address |
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Jerome M Davis, MD 1655 Bernardin Ave, Suite 350, Columbia, SC 29204-2039 Ph: (803) 865-4780 | Jerome M Davis, MD 1655 Bernardin Ave, Suite 350, Columbia, SC 29204-2039 Ph: (803) 865-4780 |
William D. Hyman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5 Richland Medical Park, Columbia, SC 29203 Phone: 803-434-2797 Fax: 803-434-7038 | |
Dr. Kamran Zargham Koranloo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1821 Clemson Rd, Columbia, SC 29229 Phone: 803-788-5916 | |
Dr. Margaret Victoria Ridgeway Pollard, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-6151 | |
Avery Michael Elifritz, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203 Phone: 803-434-1663 Fax: 803-434-7092 | |
Dr. William B Parks Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1330 Taylor St, Columbia, SC 29201 Phone: 803-296-5134 Fax: 803-296-5499 | |
Jenna Zauk, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-6151 Fax: 803-296-5137 |