Davis, Annette M

Davis, Annette M is an individual health care provider with primary practice located at 200 Patewood Dr Suite B350, Greenville SC 29615-3593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Davis, Annette M can be contacted via phone (864) 454-4500.

Contact Information

Primary practice address
200 Patewood Dr Suite B350 Greenville SC 29615-3593
Phone: (864) 454-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 20319. South Carolina

Profile Details

NPI number 1851742662
LBN Legal business name Davis, Annette M
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Nov 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851742662 NPPES
South Carolina MEDICAID NP4164

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