Individual
MRS. DELINA JOSET DAVIS-COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S MAIN ST, RICH SQUARE, NC 27869
(252) 539-2028
(252) 539-2898
Mailing address
PO BOX 710, RICH SQUARE, NC 27869-0710
(252) 539-2082
(252) 539-2898
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2337628
UNITED HEALTH CARE #
NC
01
—
84846
MEDCOST LLC PROVIDER #
NC
Enumeration date
01/03/2006
Last updated
04/25/2012
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