Individual
DR. JEFFERSON CHARLES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12307 HIGHWAY 707, MURRELLS INLET, SC 29576-9740
(843) 357-9495
(843) 357-9440
Mailing address
12307 HIGHWAY 707, MURRELLS INLET, SC 29576-9740
(843) 357-9495
(843) 357-9440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2482
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2482
—
SC
Enumeration date
07/11/2006
Last updated
01/05/2012
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