Most Relevant Information
Provider Data
| NPI Number: | 1003654559 |
| Provider Name: | BRANDI NICHOLE DAVES |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2024 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
459 GREENETREE LN
LEXINGTON
SC
290729534
Practice Location Phone/Fax
| Phone: | 8439910997 |
| Fax: |
Provider Mailing Location
459 GREENETREE LN
LEXINGTON
SC
290729534
Provider Mailing Phone/Fax
| Phone: | 8439910997 |
| Fax: |