Individual
ROBERT GREGG DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103439
SC
367500000X
Certified Registered Nurse Anesthetist
17517
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11033077
FL
Other
Enumeration date
01/31/2011
Last updated
07/30/2024
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