Individual
MR. REGINALD LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
INSTRUCTOR
Contact information
Practice address
500 N MAIN ST, SUMMERVILLE, SC 29483-6439
(843) 871-4790
Mailing address
7900 ELDERBERRY CIR, CHARLESTON, SC 29418-2133
(843) 767-1251
(843) 760-1042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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