Individual
LISA EVE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1242
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012-00023
NC
207RI0200X
Infectious Disease Physician
Primary
2012-00023
NC
Other
Enumeration date
04/06/2006
Last updated
07/15/2024
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