SearchSouth Carolina363A00000X

Theresa Davila, PA-C

NPI 1720211451 · on the registry since 2009

Practice

Address
1506 Spring St
Greenwood, SC 29646
Phone
(864) 725-7900
Fax
(864) 725-7910
Organisation at this address
Self Medical Group
Family Physicians Of Greenwood Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Additional practice sites

  • 3120 Waterman Way, Tavares, FL
  • 12251 S 80th Ave Ste 1520, Palos Heights, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363A00000X
363A00000X
363AS0400X
Licence states on file
FL, NH, SC, TN, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina