Davis, Carlotta Marzol

Davis, Carlotta Marzol is an individual health care provider with primary practice located at 2351 Augusta Hwy , Lexington SC 29072-2213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Davis, Carlotta Marzol can be contacted via phone (803) 359-2486.

Contact Information

Primary practice address
2351 Augusta Hwy Lexington SC 29072-2213
Phone: (803) 359-2486
Fax: (803) 359-4621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN1091 South Carolina

Profile Details

NPI number 1265551014
LBN Legal business name Davis, Carlotta Marzol
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Oct 23rd, 2013 - about 11 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 1265551014 NPPES
South Carolina MEDICAID NP2511

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