Davis, Cortney A

Davis, Cortney A is an individual health care provider with primary practice located at 2660 Reidville Rd Unit 1 , Spartanburg SC 29301-3512. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Cortney A can be contacted via phone (864) 560-9696.

Contact Information

Primary practice address
2660 Reidville Rd Unit 1 Spartanburg SC 29301-3512
Phone: (864) 560-9696
Fax: (864) 562-5230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9170031 Florida
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 20292 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20292 South Carolina

Profile Details

NPI number 1386088458
LBN Legal business name Davis, Cortney A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2013
Last updated Dec 17th, 2020 - about 5 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 1386088458 NPPES
South Carolina MEDICAID NP4072

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