Individual
DEBRA ELAINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2751 BEAVER RUN BLVD, SURFSIDE BEACH, SC 29575-5381
(843) 215-3694
Mailing address
300 OCEAN COMMONS DR, SURFSIDE BEACH, SC 29575-5533
(704) 301-3477
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1451
SC
Other
Enumeration date
10/30/2024
Last updated
11/07/2024
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