Individual
OWEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 BOWMAN GRAY DR, GREENVILLE, NC 27834-7286
(252) 816-0600
(252) 816-0721
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06275
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-06275
NC
Other
Enumeration date
02/11/2016
Last updated
08/13/2025
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