Individual provider · Type 1 NPI

Emevasha Davis

Clinical Laboratory Director (Non-physician) · Timmonsville, SC

NPI number 1720728892 Active

Practice location

115 N Brockington St
Timmonsville, SC 29161-1501

Fax (843) 604-0556

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

About NPI 1720728892

Emevasha Davis's National Provider Identifier is 1720728892, issued on Mar 29, 2022. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Timmonsville, SC. The record was last updated on Mar 29, 2022.