Individual
LEO WARREN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1841 QUIET CV, FAYETTEVILLE, NC 28304-3985
(910) 829-6588
(910) 829-6596
Mailing address
1841 QUIET CV, P O BOX 64367, FAYETTEVILLE, NC 28304-3985
(910) 323-2626
(910) 829-6596
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35312
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020031637
MEDICARE RAIL ROAD
NC
01
—
1738882
UNITED HEALTH CARE
NC
01
—
27271
BLUE CROSS BLUE SHIELD
NC
01
—
47806
MED COST
NC
05
—
8927271
—
NC
Enumeration date
09/21/2005
Last updated
02/18/2010
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