Individual
THOMAS W. DAVIS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
250 CHARLOIS BLVD, DBA WINSTON-SALEM HEALTHCARE, WINSTON SALEM, NC 27103-1508
(336) 718-1000
(336) 718-1050
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
742
NC
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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