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Individual

NISSA ROSE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2049 CHAMPION WAY, AIKEN, SC 29801-5395
(719) 200-9770
Mailing address
825 LEADERSHIP DR APT G, AIKEN, SC 29801-5391

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
12/17/2025
Last updated
12/17/2025
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