Individual
DR. WESLEY DANIEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
467 CANE MILL CROSSING RD, PATRICK, SC 29584-4537
(843) 623-4463
Mailing address
467 CANE MILL CROSSING RD, PATRICK, SC 29584-4537
(843) 623-4463
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
90569
SC
363L00000X
Nurse Practitioner
28492.1332
WY
363LA2100X
Acute Care Nurse Practitioner
28492.1332
WY
Other
Enumeration date
04/08/2014
Last updated
09/16/2014
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