Individual
JANA LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
1481 CENTER STREET EXT APT 1207, MOUNT PLEASANT, SC 29464-4653
(843) 801-4686
(702) 549-5309
Mailing address
1481 CENTER STREET EXT APT 1207, MOUNT PLEASANT, SC 29464-4653
(843) 801-4686
(702) 549-5309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1586
SC
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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