Individual
MRS. MICKIE WILLIAMS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S MAIN ST, HEMINGWAY, SC 29554-6442
(843) 558-2721
(843) 558-0792
Mailing address
296 PINE TREE RD, HEMINGWAY, SC 29554-5314
(843) 558-6113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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