Individual
DR. DANIELLE RENAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 EXECUTIVE DR, NEWBERRY, SC 29108-2952
(803) 733-5969
Mailing address
1228 HARDEN ST, COLUMBIA, SC 29204-1800
(803) 733-5969
(803) 217-0026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.121545
IL
208000000X
Pediatrics Physician
Primary
31538
SC
Other
Enumeration date
09/12/2008
Last updated
03/31/2009
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