Individual
EVERETT DARRELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
704 OLD LILESVILLE RD, WADESBORO, NC 28170-2820
(704) 694-6588
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153771
NC
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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