FREDDIE T. DAVIS (NPI# 1992170203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992170203 |
| Entity Type | Individual |
| Full Name | FREDDIE T. DAVIS |
| Credential | COTA/L |
| Practice Address |
175 Burdette St Spartanburg SC 29307-1003 |
| Mailing Address |
Po Box 970 Spartanburg SC 29304-0970 |
| Practice Telephone | 8645968491 |
| Practice Fax Number | 8645968495 |
| Mailing Telephone | 8645968491 |
| Mailing Fax Number | 8645968495 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 3109 | SC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256398 | Freddie Scott Davis | Chiropractor | 4083 Groveland Ave, Sarasota, FL 34231-7623 | 2020-02-05 |
| 1508087347 | Freddie N Davis | Dentist | 5534 North Wayside Drive, Houston, TX 77028 | 2007-05-01 |
| 1427055748 | Freddie J Davis | Optometrist | 1808 Long Beach Blvd, Ship Bottom, NJ 08008-4443 | 2005-07-01 |
| Street Address |
175 BURDETTE ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1467817072 | Shannon Roberts | Specialist | 175 Burdette St, Spartanburg, SC 29307-1003 | 2015-12-24 |
| 1669847273 | Carmelita Byrd | Counselor | 175 Burdette St, Spartanburg, SC 29307-1003 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| 1396972618 | Paul Michael Gibas Jr. | Dentist | 1585 Skylyn Drive, Spartanburg, SC 29307 | 2009-06-12 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335595 | Zachary Michael Mullins | Student in an Organized Health Care Education/Training Program | 210 Carlisle St, Spartanburg, SC 29306-3000 | 2019-03-19 |
| 1184111346 | Austin Brokamp | Student in an Organized Health Care Education/Training Program | 815 Rutledge St, Spartanburg, SC 29302-1459 | 2018-04-13 |
| 1053815985 | Harrison Reid Malcolm | Student in an Organized Health Care Education/Training Program | 522 Poplar St, Spartanburg, SC 29302-2739 | 2018-03-23 |
| 1457887325 | Joel Patrick Harding | Student in an Organized Health Care Education/Training Program | 1609 Hillcrest Blvd, Spartanburg, SC 29307-1303 | 2017-05-11 |
| 1568080968 | William Henry Tobener V | Student in an Organized Health Care Education/Training Program | 350 Howard St, Spartanburg, SC 29303-3515 | 2020-07-12 |
| 1164050217 | Sean Weber | Student in an Organized Health Care Education/Training Program | 350 Howard St, Spartanburg, SC 29303-3515 | 2020-04-01 |
| 1679107361 | Daltrey Allen Meitz | Student in an Organized Health Care Education/Training Program | 350 Howard St, Spartanburg, SC 29303-3515 | 2020-03-03 |
| 1821651498 | Paul Kevin Jaszewski II | Student in an Organized Health Care Education/Training Program | 350 Howard St, Spartanburg, SC 29303-3515 | 2019-04-18 |
| 1831696178 | Shayne Ryan Caswell | Student in an Organized Health Care Education/Training Program | 101 E Wood St, Spartanburg, SC 29303-3040 | 2018-04-12 |
| 1558867960 | Charles Michael Hood | Student in an Organized Health Care Education/Training Program | 101 E Wood St, Spartanburg, SC 29303-3040 | 2018-04-04 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
Please comment or provide details below to improve the information on FREDDIE T. 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.