Individual
BEVERLY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 MEDICAL DR, FAYETTEVILLE, NC 28304-4425
(910) 486-5700
(910) 486-5950
Mailing address
1301 MEDICAL DR, FAYETTEVILLE, NC 28304-4425
(910) 486-5700
(910) 486-5950
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
20781
NC
2085R0202X
Diagnostic Radiology Physician
20781
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927302
—
NC
Enumeration date
06/01/2005
Last updated
05/27/2009
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