Individual
MISS LAUREL PAIGE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1026 BARFIELD ST, DANIEL ISLAND, SC 29492-7583
(843) 544-5710
Mailing address
1026 BARFIELD ST, DANIEL ISLAND, SC 29492-7583
(843) 544-5710
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
RN121156
GA
363L00000X
Nurse Practitioner
Primary
23081
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23081
NO INSURANCE TAKEN
SC
Enumeration date
05/10/2006
Last updated
05/28/2020
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