Glenn M Davis in Raleigh - Specialist

Glenn M Davis - NPI 1073794921

Glenn M Davis is a Specialist in Raleigh, North Carolina. Glenn M Davis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Glenn M Davis is 1073794921. The last update date is 2007-11-20.

Glenn M Davis's current location address is 2304 Wesvill Ct, Raleigh, North Carolina. You can contact this provider via phone number 9197851220 and fax number 9197851220. The mailing address for Glenn M Davis is 2304 Wesvill Ct, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn M Davis
Address 2304 Wesvill Ct, Raleigh, North Carolina
Phone Number 9197851220
Fax Number 9197851220
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073794921
Provider Enumeration Date 2007-11-20
Last Updated Date 2007-11-20

Provider Mailing Address Detail

Address 2304 Wesvill Ct
City Raleigh
State North Carolina (NC)
Post Code 276072973
Phone Number 9197851220
Fax Number 9197851220

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 31126
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8927438 NC --

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FAQs about Glenn M Davis

What is the unique 10-digit identification code issued to Glenn M Davis by the Centers for Medicare & Medicaid Services?

The Glenn M Davis has been assigned the NPI (National Provider Identifier) 1073794921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Glenn M Davis?

The Glenn M Davis is situated at 2304 Wesvill Ct, in the city of Raleigh, state of NC, with the zip code 276072973.

What is the Glenn M Davis's specialty and taxonomy code?

The Glenn M Davis's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1073794921 to Glenn M Davis?

The Glenn M Davis received its 1073794921 assignment from the Centers for Medicare & Medicaid Services on 2007-11-20.

As of what date were the details related to Glenn M Davis most recently updated or revised?

The information pertaining to Glenn M Davis, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-20.

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