Davidson, Lesly S
Davidson, Lesly S is an sole proprietor health care provider with primary practice located at 901 Von Kolnitz Rd Suite 100, Mt Pleasant SC 29464-3772. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Davidson, Lesly S can be contacted via phone (843) 216-3376.Contact Information
Primary practice address
901 Von Kolnitz Rd Suite 100
Mt Pleasant SC 29464-3772
Phone: (843) 216-3376
Fax: (843) 216-3242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17272 | South Carolina |
Profile Details
| NPI number | 1861433997 |
|---|---|
| LBN Legal business name | Davidson, Lesly S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 29th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861433997 | NPPES |
| South Carolina | MEDICAID | 172725 |
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