Individual
MARY G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-6709
Mailing address
1128 TARRYTOWN LN, WEST COLUMBIA, SC 29170-3545
(803) 794-1581
(803) 794-3737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 2302
SC
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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