Individual
ANNETTE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
200 PATEWOOD DR, SUITE B350, GREENVILLE, SC 29615-3593
(864) 454-4500
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20319.
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4164
—
SC
Enumeration date
06/23/2016
Last updated
11/14/2016
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