Leann C Davis, | |
720 N Pine St, Spartanburg, SC 29303 | |
(864) 560-5800 | |
Not Available |
Full Name | Leann C Davis |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 720 N Pine St, Spartanburg, 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 |
---|---|---|---|
1376578955 | NPI | - | NPPES |
AN1521 | Medicaid | SC | |
GP2991 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1646 (South Carolina) | Primary |
Entity Name | Anesthesiology Consultants Of The Upstate, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821002767 PECOS PAC ID: 1557265758 Enrollment ID: O20031120000288 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
Mailing Address | Practice Location Address |
---|---|
Leann C Davis, Po Box 2585, Columbus, GA 31902-2585 Ph: () - | Leann C Davis, 720 N Pine St, Spartanburg, SC 29303 Ph: (864) 560-5800 |
Adam Raynes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Christin Bailey Coggins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023 | |
Melissa E Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 | |
Charity Michelle Taylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023 | |
Mr. Richard Niles Vaught, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Mrs. Lori Saxon Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 Fax: 864-560-6276 | |
Seth Tyler House, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 |