Individual
ROBIN D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFOM
Contact information
Practice address
105 T R HARRIS DR, SHELBY, NC 28150-3486
(704) 487-5225
Mailing address
105 T R HARRIS DR, SHELBY, NC 28150-3486
(704) 487-5225
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
HC0042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7795066
MASTECTOMY CERTIFIED FITT
NC
01
—
7795241
ORTHOTIC CERTIFIED FITTER
NC
Enumeration date
06/27/2007
Last updated
07/08/2007
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