# DR. CATHERINE SUZANNE DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740600402
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 28923 | NE | — |
| 208000000X | Pediatrics Physician | 28923 | NE | — |
| 208000000X | Pediatrics Physician | 83694 | SC | Yes |
| 208D00000X | General Practice Physician | 28923 | NE | — |

## Other

- **Enumeration date:** 04/22/2014
- **Last updated:** 03/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 836947 | — | SC |
| 01 | — | SCK5265019 | MEDICARE PIN | SC |
| 01 | — | SCK526H895 | MEDICARE PIN | SC |
| 01 | — | SCK526J577 | MEDICARE PIN | SC |