Mrs Teresa Yvette Davis, NP | |
206 S Matson St, Kershaw, SC 29067-1506 | |
(803) 475-1156 | |
(803) 475-1128 |
Full Name | Mrs Teresa Yvette Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 206 S Matson St, Kershaw, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508193780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4170 (South Carolina) | Primary |
363LF0000X | Nurse Practitioner - Family | F0809225 (North Carolina) | Secondary |
Entity Name | Pediatric And Family Behavioral Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700385507 PECOS PAC ID: 6608287909 Enrollment ID: O20201117002217 |
Mailing Address | Practice Location Address |
---|---|
Mrs Teresa Yvette Davis, NP 1911 Silk Pond Dr, Waxhaw, NC 28173-7348 Ph: (704) 502-3046 | Mrs Teresa Yvette Davis, NP 206 S Matson St, Kershaw, SC 29067-1506 Ph: (803) 475-1156 |
Beverly H Timmons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 216 E Marion St, Kershaw, SC 29067 Phone: 803-475-3475 Fax: 803-475-5360 | |
Ms. Lisa D Clyburn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 E Marion St, Kershaw, SC 29067 Phone: 803-475-3350 Fax: 803-475-3355 | |
Courtney Sullivan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Woodland Drive, Kershaw, SC 29067 Phone: 803-282-7465 Fax: 803-262-0198 | |
Mrs. Sheresa Blackmon Catoe, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Woodland Drive, Kershaw, SC 29067 Phone: 803-313-3700 Fax: 803-289-0909 | |
Jessica Brubeck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Woodland Dr, Kershaw, SC 29067 Phone: 843-680-1342 | |
Mrs. Denise Marie Wolfe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 E Marion St, Kershaw, SC 29067 Phone: 803-475-2083 |