Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 3577 | SC |
N | 111NN1001X | Nutrition | 3577 | SC |
Y | 111NP0017X | Pediatric Chiropractor | 3577 | SC |
NPI | 1639459688 |
---|---|
Provider Name | Dr. Sarah V. Davis |
First Address | Greenville, SC 29607-1329 |
Second Address | Greenville, SC 29607-1329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2011 |
Last Update Date | 08/03/2013 |