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1609820588
DAVID R DAVIS
MYRTLE BEACH, SC
NPI
1609820588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 2255)
Enumeration Date
2006-05-22
Last Update Date
2016-08-29
Business Address
-- DAVID R DAVIS CRNA
1021 MEDICAL CIR #100
MYRTLE BEACH, SC 29572-4608
Phone number: 843-692-1062
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Mailing Address
-- DAVID R DAVIS CRNA
PO BOX 4860
MURRELLS INLET, SC 29576-2698
Phone number: 843-651-2624
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