Individual
NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BERKSHIRE DR STE D, COLUMBIA, SC 29223-1859
(803) 446-0823
Mailing address
1234 UNIVERSAL DR APT 205, COLUMBIA, SC 29209-5101
(803) 446-0823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12971
SC
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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