Individual
CHERRICA T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29804 LAKESHORE BOULEVARD, WILLOWICK, OH 44095
(440) 833-2095
(440) 833-2096
Mailing address
PO BOX 781389, DETROIT, MI 48278-1389
(440) 953-6082
(440) 953-6101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-084193
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
35-084193
OH
208000000X
Pediatrics Physician
35-084193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2668206
—
OH
Enumeration date
07/25/2006
Last updated
02/26/2021
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