Individual
MS. JOANNE K. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 720-8490
(843) 727-3602
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A 3588
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5551
MEDICARE GROUP #
SC
01
—
GP4799
MEDICAID GROUP #
SC
05
—
NP1270
—
SC
Enumeration date
08/05/2008
Last updated
11/19/2024
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