Individual
MR. DAVIS LEE SCOTT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
481 REGENCY PARK DRIVE, COLUMBIA, SC 29210
(803) 553-2739
Mailing address
481 REGENCY PARK DRIVE, COLUMBIA, SC 29210
(803) 553-2739
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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