Individual
LEANN C. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N PINE ST, SPARTANBURG, SC 29303
(864) 560-5800
Mailing address
PO BOX 2585, COLUMBUS, GA 31902-2585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1646
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1521
—
SC
05
—
GP2991
—
SC
Enumeration date
07/11/2006
Last updated
07/12/2019
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