Individual
ELLISHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
726 LOWNDES HILL RD STE E, GREENVILLE, SC 29607-2117
(864) 775-4900
Mailing address
811 PENDLETON ST STE 2B, GREENVILLE, SC 29601-3232
(864) 775-4900
(864) 751-4353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38404
SC
Other
Enumeration date
01/31/2023
Last updated
07/16/2024
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