Individual
MRS. JANICE J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
167 ASHLEY AVE, SUITE 525, CHARLESTON, SC 29403-5836
(843) 792-1003
Mailing address
25 STONEBRIAR RD, COLUMBIA, SC 29212-8531
(803) 781-3762
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
667
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0595
—
SC
Enumeration date
05/09/2006
Last updated
07/08/2007
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