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NPI Code Detail

MEDICARE: MRS. HOLLY EARNHARDT DAVIS

MEDICARE: MRS. HOLLY EARNHARDT 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
1235Z00000XSpeech-Language Pathologist5693SC

General Provider Information

NPI Number : 1740674860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY EARNHARDT DAVIS
Provider Business Mailing Address
First Line : 267 THORNCREST DR
Second Line :
City : PAULINE
State : SC
Zip : 29374-1626
Country : US
Telephone Number : 864-580-0769
Fax Number :
Provider Business Practice Location Address
First Line : 267 THORNCREST DR
Second Line :
City : PAULINE
State : SC
Zip : 29374-1626
Country : US
Telephone Number : 864-580-0769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2015
Last Update Date : 03/26/2015

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Directions to “ MRS. HOLLY EARNHARDT DAVIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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