Individual
THERESA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1347 OZONE DR, SUITE 2, SALUDA, NC 28773-5506
(828) 749-0149
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201054
NC
363L00000X
Nurse Practitioner
2645A
SC
Other
Enumeration date
03/23/2006
Last updated
11/22/2019
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