Individual
MICHEALA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-2519
Mailing address
1301 PRIMACY PKWY, MEMPHIS, TN 38119-0213
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
LL94646
SC
Other
Enumeration date
05/03/2023
Last updated
07/21/2025
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