# MRS. JESSICA ERIN CARLTON DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578756375
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5553 | SC | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 04/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 42-6594 | MEDICARE PROVIDER NUMBER | SC |
| 05 | — | GP1708 | — | SC |
| 05 | — | TH1832 | — | SC |