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1073586186
MARK A DAVIS
COLUMBIA, SC
NPI
1073586186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC PA2841)
Enumeration Date
2006-02-09
Last Update Date
2018-04-20
Business Address
MARK A DAVIS PA-C
2611 FOREST DR STE 200
COLUMBIA, SC 29204-2371
Phone number: 803-779-3263
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Mailing Address
MARK A DAVIS PA-C
2611 FOREST DR STE 200
COLUMBIA, SC 29204-2371
Phone number: 803-779-3263
Copy
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