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Maranda Brown Davis, Hairloss specialist

Specialist, Prosthetics Case Management in Columbia, SC. Individual provider (NPI-1).

NPI number1104368968
StatusActive
Last updated in NPPESNov 10, 2016

Details

NPI
1104368968
Entity type
Individual (NPI-1)
Name
Maranda Brown Davis
Credential
Hairloss specialist
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2016
Last updated
Nov 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1744P3200X Specialist, Prosthetics Case Management1744P3200xSCYes

Practice location

2757 Laurel St
3
Columbia, SC 29204-2037

Phone 803-730-0231

Mailing address

2757 Laurel St
3
Columbia, SC 29204-2037

Phone 803-730-0231

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