Individual
MELISSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1228 HARDEN ST STE A, COLUMBIA, SC 29204-1800
(803) 748-7002
(803) 252-5259
Mailing address
1228 HARDEN ST STE A, COLUMBIA, SC 29204-1800
(803) 748-7002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4775
—
SC
Enumeration date
05/11/2017
Last updated
01/09/2018
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