Joseph R Davis
Individual provider Active NPI Athletic Trainer · Hanahan, SC
NPI 1578093209 · NPPES record last updated Jun 15, 2017
Key facts
- NPI
- 1578093209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 6015 Murray Dr
Hanahan, SC 29410-2241 - Phone
- (843) 820-3710
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
6015 Murray Dr
Hanahan, SC 29410-2241
Mailing address
1167 Startrail LN
Johns Island, SC 29455-3263
Other providers in Hanahan, SC
- Cosmetic & Family Dentistry PC
- Melissa Rene Craven
- Sarah Crawford
- Shmuel Dabush
- Kjersti Damsker
- Susan Royal Davis
- Taylor Dempsey
- Dentistry for Children of South Carolina PC
- Isabel Ghowanlu Driggers
- Bailey Duffy
All providers in Hanahan, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.