Individual
COKELETTA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
408 W ALEXANDER AVE, GREENWOOD, SC 29646-4031
(864) 227-9393
Mailing address
408 W ALEXANDER AVE, GREENWOOD, SC 29646-4031
(864) 227-9393
(964) 227-9377
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
27388
SC
Other
Enumeration date
06/16/2023
Last updated
04/19/2024
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