Individual
DEBORAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WAKE FOREST SCHOOL OF MEDICINE, DEPT OF CT SURGERY, WINSTON SALEM, NC 27157-1096
(336) 716-2124
(336) 716-3348
Mailing address
MEDICAL CENTER BLVD, WAKE FOREST SCHOOL OF MEDICINE, DEPT OF CT SURGERY, WINSTON SALEM, NC 27157-1096
(336) 716-2124
(336) 716-3348
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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