Individual
MRS. JEANNIE R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
131 COMMONWEALTH DR STE 310, GREENVILLE, SC 29615-4837
(864) 752-0517
(864) 234-7961
Mailing address
131 COMMONWEALTH DR STE 310, GREENVILLE, SC 29615-4837
(864) 752-0517
(864) 234-7961
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-19715
SC
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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