Individual
MRS. CARRIE LYNNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN CDE
Contact information
Practice address
210 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4942
(252) 535-8276
(252) 535-8778
Mailing address
210 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4942
(252) 535-8276
(252) 535-8778
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2042-0105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400151
—
NC
Enumeration date
11/01/2010
Last updated
11/01/2010
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