Individual
MS. CATHY DIANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-4707
(864) 355-4755
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-4707
(864) 355-4755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5643P
SC
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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