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Individual

BRYAN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
210A BIRCHTREE DR, GREENWOOD, SC 29649-1502
(864) 223-2243
Mailing address
104 WENMOUNT CT, GREENWOOD, SC 29646-7566
(864) 992-5910

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11918
SC

Other

Enumeration date
11/17/2016
Last updated
11/17/2016
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