Individual
LYNN CAROL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1649 J A COCHRAN BYP, CHESTER, SC 29706-2190
(803) 377-4616
Mailing address
558 COTTONFIELD CIR, WAXHAW, NC 28173-8364
(704) 242-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5010372
NC
363LF0000X
Family Nurse Practitioner
Primary
22407
NC
Other
Enumeration date
02/27/2018
Last updated
05/01/2024
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