Healthcare Provider Details

I. General information

NPI: 1336281831
Provider Name (Legal Business Name): MRS. FRANCES E DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 POINSETT HWY
GREENVILLE SC
29613-0002
US

IV. Provider business mailing address

17 VALERIE DR
GREENVILLE SC
29615-1294
US

V. Phone/Fax

Practice location:
  • Phone: 864-294-2130
  • Fax: 864-294-3590
Mailing address:
  • Phone: 864-609-1968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number4732
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: