Organization
COUNTY OF RANDOLPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN LANE DAVIS (EMERGENCY SERVICES DIRECTOR)
(336) 318-6943
Entity
Organization
Contact information
Practice address
760 NEW CENTURY DR, ASHEBORO, NC 27205-7371
(336) 318-6911
(336) 636-7503
Mailing address
760 NEW CENTURY DR, ASHEBORO, NC 27205-7371
(336) 318-6911
(336) 636-7503
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0760578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07253
BC/BS
NC
05
—
3406754
—
NC
Enumeration date
10/07/2005
Last updated
05/14/2025
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