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1063527836
MARY G DAVIS
COLUMBIA, SC
NPI
1063527836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC APN 2302)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- MARY G DAVIS NP
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
-- MARY G DAVIS NP
1128 TARRYTOWN LN
WEST COLUMBIA, SC 29170-3545
Phone number: 803-794-1581
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