Eddie Dean Davis in Charlotte - Physician Assistant
Eddie Dean Davis - NPI 1700876141
Eddie Dean Davis is a Physician Assistant in Charlotte, North Carolina. Eddie Dean Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Eddie Dean Davis is 1700876141. The last update date is 2016-06-07.
Eddie Dean Davis's current location address is 4601 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043232000. The mailing address for Eddie Dean Davis is 4601 Park Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie Dean Davis |
|---|---|
| Address | 4601 Park Rd, Charlotte, North Carolina |
| Phone Number | 7043232000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1700876141 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2016-06-07 |
Provider Mailing Address Detail
| Address | 4601 Park Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282093239 |
| Phone Number | 7043232000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103716 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C5985 | NC | MEDCOST | |
| P00136713 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eddie Dean Davis by the Centers for Medicare & Medicaid Services?
The Eddie Dean Davis has been issued the NPI (National Provider Identifier) 1700876141, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Eddie Dean Davis is geographically located?
The Eddie Dean Davis is physically situated at the following location: 4601 Park Rd, Charlotte, NC, 282093239.
What is Eddie Dean Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eddie Dean Davis's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Eddie Dean Davis receive its 1700876141 assignment from the Centers for Medicare & Medicaid Services?
The Eddie Dean Davis was assigned its 1700876141 on 2005-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Eddie Dean Davis's information last updated?
The Eddie Dean Davis's information was last updated on 2016-06-07.