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1760025258
CHAD MICHAEL DAVIS
CHARLESTON, SC
NPI
1760025258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 23043)
Enumeration Date
2019-10-28
Last Update Date
2019-12-23
Business Address
CHAD MICHAEL DAVIS FNP
171 ASHLEY AVENUE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
CHAD MICHAEL DAVIS FNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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