Individual
DR. NATHAN GRANT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WAKE FOREST BAPTIST HEALTH- WILKES MEDICAL CENTER, 1370 W D ST, NORTH WILKESBORO, NC 28659
(336) 651-8100
Mailing address
ONE MEDICAL CENTER BLVD ATTENTION: JANICE HECHT, WINSTON SALEM, NC 27157-0001
(336) 716-1896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018-02565
NC
207P00000X
Emergency Medicine Physician
57911
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
06/18/2019
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