Davis, Randy

Davis, Randy is an individual health care provider with primary practice located at 1102 W Main St , Laurens SC 29360-2610. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davis, Randy can be contacted via phone (864) 640-1586.

Contact Information

Primary practice address
1102 W Main St Laurens SC 29360-2610
Phone: (864) 640-1586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2344 South Carolina

Profile Details

NPI number 1427590041
LBN Legal business name Davis, Randy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 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 1427590041 NPPES
South Carolina Other 1881831170 EMPLOYER

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