Individual
HATTIE MCLANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
4605 MACCORKLE AVE SW, CHARLESTON, WV 25309-1311
(304) 766-3600
Mailing address
465 SILVER MAPLE RDG APT 9, CHARLESTON, WV 25306-1153
(304) 932-7576
(304) 932-7576
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
109766
WV
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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