Davis, Jefferson Charles

Davis, Jefferson Charles is an individual health care provider with primary practice located at 12307 Highway 707 , Murrells Inlet SC 29576-9740. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Jefferson Charles can be contacted via phone (843) 357-9495.

Contact Information

Primary practice address
12307 Highway 707 Murrells Inlet SC 29576-9740
Phone: (843) 357-9495
Fax: (843) 357-9440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2482 South Carolina

Profile Details

NPI number 1518992197
LBN Legal business name Davis, Jefferson Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 5th, 2012 - about 13 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 1518992197 NPPES
South Carolina MEDICAID CH2482

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