MARANDA BROWN DAVIS (NPI# 1104368968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104368968 |
| Entity Type | Individual |
| Full Name | MARANDA BROWN DAVIS |
| Credential | HAIRLOSS SPECIALIST |
| Practice Address |
2757 Laurel St 3 Columbia SC 29204-2037 |
| Practice Telephone | 8037300231 |
| Mailing Telephone | 8037300231 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
1744P3200X | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | HAIRLOSS SPECIALIST | 1744P3200X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639647860 | Maranda Davis | Case Manager/Care Coordinator | 1124 College Dr, Rock Springs, WY 82901-5863 | 2018-11-06 |
| 1649663238 | Maranda Davis | Pharmacist | 201 S Prickly Pear Ave, Benson, AZ 85602-6446 | 2015-03-06 |
| 1639446917 | Maranda Davis | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2011-11-30 |
| 1952550923 | Maranda Jo Davis | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2008-09-15 |
| Street Address |
2757 LAUREL ST 3 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370926 | Philip Dunne Flynn Iv | Optometrist | 2757 Laurel St, Columbia, SC 29204-2037 | 2006-03-14 |
| 1780134965 | Hairfanatic Boutique LLC | Prosthetic/Orthotic Supplier | 2757 Laurel St, Suite 3, Columbia, SC 29204-2037 | 2016-10-11 |
| 1891007332 | Caves Medical & Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 2757 Laurel St, Ste 4a, Columbia, SC 29204-2037 | 2010-07-13 |
| 1477683001 | Drs. Miller & Flynn, Optometrists LLC | Optometrist | 2757 Laurel St, Suite 2, Columbia, SC 29204-2037 | 2007-03-06 |
| 1407935596 | Samuel Chiropractic Pa | Chiropractor | 2757 Laurel St, Suite 4, Columbia, SC 29204-2037 | 2006-11-02 |
| 1013931799 | Virginia Kaye Samuel | Chiropractor | 2757 Laurel St, Suite 4, Columbia, SC 29204-2037 | 2006-07-27 |
| 1386695294 | Henry B Miller | Optometrist | 2757 Laurel St, Columbia, SC 29204-2037 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1942848643 | Tamara Lynette Waters | Specialist | 10050 Two Notch Rd Ste 7, Columbia, SC 29223-4302 | 2019-12-13 |
| 1871130690 | Tonya Haynes Brown | Specialist | 1224 Broad River Rd, Columbia, SC 29210-7619 | 2019-12-01 |
| 1508409897 | Tiana Tylei Goodman-walker | Specialist | 1825 Saint Julian Pl Apt 9b, Columbia, SC 29204-2483 | 2019-10-20 |
| 1104484880 | Brandi Ann Harris | Specialist | 416 E Broadway, Columbia, MO 65201-4438 | 2019-05-29 |
| 1073087078 | Sonya L Pipkins | Specialist | 1002 Chickasaw Trl, Columbia, TN 38401-2558 | 2019-01-14 |
| 1447754288 | Lakisha Martesa Ashford | Specialist | 651 Saint Andrews Rd, Columbia, SC 29210-5112 | 2018-03-19 |
| 1831604909 | Mary Elizabeth Lewis | Specialist | 120 Fairforest Rd, Columbia, SC 29212-2308 | 2017-12-11 |
| 1205341450 | Katherine L Savage | Specialist | 425 Summit Terrace Ct Ste B5, Columbia, SC 29229-7055 | 2017-12-11 |
| 1457890873 | Beveisha Youmans | Specialist | 3542 Covenant Rd, Columbia, SC 29204-4271 | 2017-02-17 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.