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Individual

JOSEPH R DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6015 MURRAY DR, HANAHAN, SC 29410-2241
(843) 820-3710
Mailing address
1167 STARTRAIL LN, JOHNS ISLAND, SC 29455-3263

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/15/2017
Last updated
06/15/2017
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