Individual
CORRIE MARIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSC
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 431-2049
Mailing address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 431-2049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
504
SC
Other
Enumeration date
09/15/2010
Last updated
07/31/2012
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