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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE DAVIS

Active Sole Proprietor

JACQUELINE DAVIS is a Podiatric Surgery healthcare provider located in ELGIN, South Carolina. NPI 1366098782 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · ELGIN, SC

Registration Details

NPI Number
1366098782
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2019 (7.0055786526216 yrs)
Last Updated
Aug 12, 2019
Sole Proprietor
Yes

Practice Information

Address
430 BRUSHFIELD PARK DR
ELGIN, SC, 290458397
Browse SC providers · Browse ZIP 29045
Phone
8037368969
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.