Individual
MERCEDES ZIMMERMAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 LANSFORD PL, MYRTLE BEACH, SC 29588-6979
(843) 293-8850
(843) 293-8860
Mailing address
106 LANSFORD PL, MYRTLE BEACH, SC 29588-6979
(843) 293-8850
(843) 293-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001000495
NC
363A00000X
Physician Assistant
MA054212
PA
363A00000X
Physician Assistant
Primary
PA2292
SC
Other
Enumeration date
08/20/2006
Last updated
11/23/2016
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