Individual
DR. SUSAN ROYAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7257 SWEET GRASS BLVD, HANAHAN, SC 29410-4706
(843) 793-1824
(843) 793-1824
Mailing address
7257 SWEET GRASS BLVD, HANAHAN, SC 29410-4706
(843) 793-1824
(843) 793-1824
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
D0059439
MD
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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