Individual
GWENDOLYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 ACADEMY ST STE B, COLUMBIA, SC 29203-6958
(843) 357-3600
Mailing address
1012 FLAMINGO DR, COLUMBIA, SC 29203-1310
(843) 357-3600
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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