Davis, Antoinette B

Davis, Antoinette B is an individual health care provider with primary practice located at 403 Stony Landing Rd , Moncks Corner SC 29461-3967. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Antoinette B can be contacted via phone (843) 761-8282.

Contact Information

Primary practice address
403 Stony Landing Rd Moncks Corner SC 29461-3967
Phone: (843) 761-8282
Fax: (843) 761-7308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1205676954
LBN Legal business name Davis, Antoinette B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2024
Last updated May 30th, 2024 - about 6 months 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 1205676954 NPPES
South Carolina MEDICAID 435201

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