Individual
HOLLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23017
SC
363LF0000X
Family Nurse Practitioner
Primary
23017
SC
Other
Enumeration date
08/05/2019
Last updated
11/01/2022
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