Individual
MRS. TERESA YVETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
206 S MATSON ST, KERSHAW, SC 29067-1506
(803) 475-1156
(803) 475-1128
Mailing address
1911 SILK POND DR, WAXHAW, NC 28173-7348
(704) 502-3046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4170
SC
363LF0000X
Family Nurse Practitioner
F0809225
NC
Other
Enumeration date
11/10/2009
Last updated
10/25/2010
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