Joann Davis, PTA
Individual provider Active NPI Case Manager/Care Coordinator · Easley, SC
NPI 1962729376 · NPPES record last updated Apr 24, 2010
Key facts
- NPI
- 1962729376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 2196 (SC)
- Practice address
- 255 Gibson Rd
Easley, SC 29640-7803 - Phone
- (864) 306-3383
- NPI assigned
- Apr 24, 2010
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2196 | SC | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 2196 | SC | Yes |
Addresses
Primary practice location
255 Gibson Rd
Easley, SC 29640-7803
Mailing address
255 Gibson Rd.
Easley, SC 29640-7803
Phone (864) 306-3383
Other providers in Easley, SC
- Gordon David Dannelly
- Alicia M Davenport
- Matthew Davidson
- Natalie Davis-Olson
- Amber Davis
- Lisa Davis
- Lisa Lian Davis
- Patricia Robertson Davis
- Darin Conner Deangelis
- Melody Young Deangelis
All providers in Easley, SC · Case Manager/Care Coordinator 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 Apr 24, 2010. 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.