Individual
CHRISTIA NOEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
(843) 207-4727
Mailing address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39903
WV
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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