Individual
BRITTANY DENISE MACON - DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1021 MOREHEAD MEDICAL DR OFC 2011, CHARLOTTE, NC 28204-2990
(919) 819-0918
Mailing address
1317 SAINT ANDREWS DR, MEBANE, NC 27302-7135
(919) 819-0918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05946
NC
Other
Enumeration date
09/21/2015
Last updated
07/11/2023
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