Individual
BEVERLY A MARTIN-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 PALMETTO PK BLVD, LEXINGTON, SC 29072-7872
(803) 399-9204
Mailing address
301 PALMETTO PK BLVD, LEXINGTON, SC 29072-7872
(803) 399-9204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001239655
VA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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