Individual
DANIELLE ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-3894
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(864) 797-6220
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL 28069
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280699
—
SC
05
—
5911040
—
NC
Enumeration date
03/09/2007
Last updated
11/02/2021
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