Individual
RONALD LEE DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-4131
(336) 713-0328
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1332
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927764
—
NC
Enumeration date
09/23/2005
Last updated
10/15/2021
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