Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3578 | SC |
N | 111NN0400X | Neurology | 3578 | SC |
N | 111NN1001X | Nutrition | 3578 | SC |
NPI | 1851680094 |
---|---|
Provider Name | Dr. Brian R Davis |
First Address | Greenville, SC 29607-1329 |
Second Address | Greenville, SC 29607-1329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 08/03/2013 |