Davis, Jessica Erin Carlton

Davis, Jessica Erin Carlton is an individual health care provider with primary practice located at 3040 Highway 17 Byp N Ste A , Mt Pleasant SC 29466-9438. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davis, Jessica Erin Carlton can be contacted via phone (843) 388-7667.

Contact Information

Primary practice address
3040 Highway 17 Byp N Ste A Mt Pleasant SC 29466-9438
Phone: (843) 388-7667
Fax: (843) 388-7877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5553 South Carolina

Profile Details

NPI number 1578756375
LBN Legal business name Davis, Jessica Erin Carlton
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Apr 30th, 2024 - about 5 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 1578756375 NPPES
South Carolina Other 42-6594 MEDICARE PROVIDER NUMBER
South Carolina MEDICAID GP1708 MEDICARE PROVIDER NUMBER
South Carolina MEDICAID TH1832 MEDICARE PROVIDER NUMBER

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