| Doctor Name: | MARIE DAVIS RATAJ |
| NPI Number: | 1003872391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | A2706 |
| Business Practice Address: | 92 Springview Lane South Carolina Sleep Medicine Summerville, SC - 29485 |
| Business Phone Number: | 8438714006 |
| Business Fax Number: | 8438714074 |
| Mailing Address: | 92 Springview Lane, SUMMERVILLE |
| State: | SC |
| Postal Code: | 29485 |
| Phone Number: | 8438714006 |
| Fax Number: | 8438714074 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | A2706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |