Individual
MRS. MARY BONNER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
317 SAINT FRANCIS DR STE 220, GREENVILLE, SC 29601-3976
(864) 255-1901
(844) 318-9058
Mailing address
317 SAINT FRANCIS DR STE 220, GREENVILLE, SC 29601-3976
(864) 255-1901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23352
SC
Other
Enumeration date
04/17/2020
Last updated
08/07/2020
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