Individual
TODD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054
(704) 834-2000
Mailing address
PO BOX 12845, GASTONIA, NC 28052
(704) 834-2825
(704) 866-7853
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9800836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89133R1
—
NC
05
—
N00837
—
SC
Enumeration date
06/14/2006
Last updated
01/10/2008
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