Individual
MR. JUDSON SPENCER DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3069
Mailing address
2616 UNION GROVE RD, LEXINGTON, NC 27295-5879
(336) 764-5442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202428
NC
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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