Individual
DAVIDA AKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 SHASTA CIR, CLOVER, SC 29710-6914
(803) 675-4576
Mailing address
3900 SHASTA CIR, CLOVER, SC 29710-6914
(803) 675-4576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104947
SC
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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