Davis, Lauren Shelton

Davis, Lauren Shelton is an individual health care provider with primary practice located at 9150-B Medcom Street , North Charleston SC 29406-9171. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Davis, Lauren Shelton can be contacted via phone (843) 572-3330.

Contact Information

Primary practice address
9150-B Medcom Street North Charleston SC 29406-9171
Phone: (843) 572-3330
Fax: (843) 572-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1473 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1473 South Carolina

Profile Details

NPI number 1962737684
LBN Legal business name Davis, Lauren Shelton
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Jun 3rd, 2015 - about 11 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 1962737684 NPPES
South Carolina Other D043 GROUP MEDICARE PTAN

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