Individual
DAVIS FREDERICK PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
(704) 834-2500
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-01271
NC
390200000X
Student in an Organized Health Care Education/Training Program
303110
NC
Other
Enumeration date
05/13/2021
Last updated
06/14/2024
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