Provider Demographics
NPI:1518915263
Name:TROYER, DEVIN J (MD)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:J
Last Name:TROYER
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:PO BOX 11671
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29211-1671
Mailing Address - Country:US
Mailing Address - Phone:803-401-1372
Mailing Address - Fax:803-401-1178
Practice Address - Street 1:2935 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6811
Practice Address - Country:US
Practice Address - Phone:803-254-7777
Practice Address - Fax:803-401-1178
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15387208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCE84422Medicare UPIN
5527Medicare PIN