Individual
MEREDITH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2826 RANDOLPH RD FL 2, CHARLOTTE, NC 28211-1359
(704) 280-6844
Mailing address
2826 RANDOLPH RD FL 2, CHARLOTTE, NC 28211-1359
(704) 280-6844
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4888
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000043564255
LISENCURE
NC
01
—
1848111
OPTIMA HEALTH
VA
Enumeration date
07/02/2018
Last updated
04/22/2024
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