Provider Demographics
NPI:1609084391
Name:DAVIS, BILL HAMPTON (MD)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:HAMPTON
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7616 DRIFTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-4152
Mailing Address - Country:US
Mailing Address - Phone:843-449-0554
Mailing Address - Fax:843-497-4861
Practice Address - Street 1:7616 DRIFTWOOD DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4152
Practice Address - Country:US
Practice Address - Phone:843-449-0554
Practice Address - Fax:843-497-4861
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC6163208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology