Individual
MRS. NATASHA SHIREE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2015 MARION ST, COLUMBIA, SC 29201-2113
(803) 898-0126
Mailing address
102 KINGSTON FOREST DR, IRMO, SC 29063-8137
(803) 898-0126
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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