Individual
DR. KIMBERLY LYNN DAVIS-SEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
498 WANDO PARK BLVD STE 500, MOUNT PLEASANT, SC 29464-7963
(843) 216-8160
(866) 834-5680
Mailing address
498 WANDO PARK BLVD STE 500, MOUNT PLEASANT, SC 29464-7963
(843) 216-8160
(866) 834-5680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16563
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236858
RR MEDICARE
SC
Enumeration date
02/23/2006
Last updated
02/15/2024
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