Individual
ERVIN DAVIS, III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSOCIATE DEGREE
Contact information
Practice address
515 YADKIN ST, HENDERSON, NC 27536-3578
(919) 605-9981
Mailing address
316 STALLINGS RD, DURHAM, NC 27703-3808
(919) 605-9981
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
NC
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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