Individual
MICHELLE DAVIGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4645 AUGUSTA RD, BEECH ISLAND, SC 29842-7265
(803) 593-9283
Mailing address
215 CLAUDIA DR, GROVETOWN, GA 30813-8318
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN236485
GA
Other
Enumeration date
03/04/2019
Last updated
03/25/2021
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