person
Maranda Brown Davis, HAIRLOSSSPECIALIST
Prosthetics Case Management in Columbia, South Carolina
NPI 1104368968

Maranda Brown Davis is a Prosthetics Case Management based in Columbia, SC and is specialized in Prosthetics Case Management. Maranda Brown Davis practices in Columbia, SC and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Maranda Brown Davis is 1104368968 and holds a License No. 1744P3200X (South Carolina).

The current practice location address for Maranda Brown Davis is 2757 Laurel St, Columbia, SC and can be reached out via phone at 803-730-0231. You can also correspond with Maranda Brown Davis through the mailing address at 2757 LAUREL ST, COLUMBIA, SC - 29204-2037 (mailing address contact number: 803-730-0231).

Location: 2757 Laurel St, Columbia, SC, 29204-2037
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Provider Profile Details
NPI Number
1104368968
Provider Name
Maranda Brown Davis
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
2757 Laurel St, Columbia, SC, 29204-2037
Phone Number
803-730-0231
Fax Number
Provider Enumeration Date
11/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1744P3200X 01 SC HAIRLOSS SPECIALIST
institution
Provider Business Practice Location Address Details
Address
2757 Laurel St
City
State
Zip
29204-2037
Phone Number
803-730-0231
Fax Number
person
Provider Business Mailing Address Details
Address
2757 Laurel St
City
State
Zip
29204-2037
Phone Number
803-730-0231
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
1744P3200X (South Carolina)
Definition
Definition to come...
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