NPI 1003543190
Lesly S. Davidson, MD, PA
Practice location
- Address
- 901 von Kolnitz Rd STE 100, Mt Pleasant, SC 29464-3772
- Phone
- (843) 216-3376
- Fax
- (843) 216-3242
- Mailing address
- 901 von Kolnitz Rd, Mt Pleasant, SC 29464-3772
Authorised official
- Name
- Lesly S Davidson
- Title
- Md/Owner
- Phone
- (843) 906-3980
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1003543190
- Entity type
- Organization
- NPI issued
- 8 Aug 2022
- Record last updated
- 8 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.