Individual
BRENT ALAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 DOCTORS WAY, BLAIRSVILLE, GA 30512
(706) 439-6858
Mailing address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(828) 837-9181
(828) 835-3486
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006-00132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1418Y
BCBS
NC
05
—
5905627
—
NC
Enumeration date
04/18/2006
Last updated
03/07/2023
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