Individual
ALEXANDRIA ROBERTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 TWO NOTCH RD, LEXINGTON, SC 29072-7963
(803) 951-5871
Mailing address
2480 TWO NOTCH RD, LEXINGTON, SC 29072-7963
(803) 951-5871
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
264431
SC
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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