Individual
GWEN A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 E CHEVES STREET, SC DHEC PEE DEE REGION, FLORENCE, SC 29506
(843) 673-6544
Mailing address
145 E CHEVES STREET, SC DHEC PEE DEE REGION, FLORENCE, SC 29506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
36209
SC
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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