Individual
MS. MARTHA ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6439 GARNERS FERRY RD, WM JENNINGS BRYAN DORN VETERANS ADMINISTRATION MED CTR, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
8100 GARNERS FERRY RD, APT 1323, COLUMBIA, SC 29209-9496
(330) 289-3325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT0542
TX
Other
Enumeration date
04/26/2006
Last updated
06/11/2011
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