Benita Alley Davis, CRNA | |
7 Independence Pt Ste 300, Greenville, SC 29615-4569 | |
(864) 522-3700 | |
(864) 522-3705 |
Full Name | Benita Alley Davis |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 7 Independence Pt Ste 300, Greenville, 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 |
---|---|---|---|
1659393254 | NPI | - | NPPES |
AN1489 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 075347 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Prisma Health-upstate |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
Mailing Address | Practice Location Address |
---|---|
Benita Alley Davis, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Benita Alley Davis, CRNA 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700 |
Paul Derek Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Ashley Ann Alguire, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. J Ross Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
George R Sweet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Anesthesia Dept, Greenville, SC 29605 Phone: 864-455-7111 | |
Jennifer Webb George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7111 Fax: 864-455-6441 | |
Amanda Tipton Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-522-2286 | |
Tyler Withrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000 |