Healthcare Provider Details

I. General information

NPI: 1033141197
Provider Name (Legal Business Name): MAEGAN S DAVIS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NEW RIVER PKWY STE 22
HARDEEVILLE SC
29927-4547
US

IV. Provider business mailing address

300 NEW RIVER PKWY STE 22
HARDEEVILLE SC
29927-4547
US

V. Phone/Fax

Practice location:
  • Phone: 843-208-3404
  • Fax: 843-208-3405
Mailing address:
  • Phone: 843-208-3404
  • Fax: 843-208-3405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3889
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: