Individual
MARANDA BROWN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIRLOSS SPECIALIST
Contact information
Practice address
2757 LAUREL ST, 3, COLUMBIA, SC 29204-2037
(803) 730-0231
Mailing address
2757 LAUREL ST, 3, COLUMBIA, SC 29204-2037
(803) 730-0231
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1744P3200X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
HAIRLOSS SPECIALIST
SC
Enumeration date
11/10/2016
Last updated
11/10/2016
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