Provider Demographics
NPI:1477521227
Name:LOVICE, DAVID BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRIAN
Last Name:LOVICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N SUMTER ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4916
Mailing Address - Country:US
Mailing Address - Phone:803-778-5970
Mailing Address - Fax:803-778-5403
Practice Address - Street 1:100 N SUMTER ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4916
Practice Address - Country:US
Practice Address - Phone:803-778-5970
Practice Address - Fax:803-778-5403
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20109207YX0905X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Not Answered2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT41728Medicaid
SCT41728Medicaid