MEDICARE: MRS. FRANCES E DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	4732	SC

General Provider Information

NPI Number	:	1336281831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCES E DAVIS

Provider Business Mailing Address
First Line	:	17 VALERIE DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1294
Country	:	US
Telephone Number	:	864-609-1968
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 POINSETT HWY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29613-0002
Country	:	US
Telephone Number	:	864-294-2130
Fax Number	:	864-294-3590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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