Individual
DR. ROBERT A DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203-B EARNHARDT DR., ECU PHYSICIANS SURGERY CHOWAN HOSPITAL, EDENTON, NC 27932
(252) 482-5868
(252) 482-7953
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30145
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020051953
RAILROAD MEDICARE
NC
01
—
27914
BCBS NC
NC
05
—
8927914
—
NC
Enumeration date
08/02/2005
Last updated
11/23/2011
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