Individual
LEANDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
905 W GREENWOOD ST, ABBEVILLE, SC 29620-5678
(864) 366-2131
Mailing address
905 W GREENWOOD ST, ABBEVILLE, SC 29620-5678
(864) 366-2131
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
81493
SC
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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