Individual
JOHN SAMUEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
68 HOSPITAL RD, SYLVA, NC 28779-2722
(828) 586-7114
Mailing address
PO BOX 409, BLUEFIELD, WV 24701-0409
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200100347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130X2
BCBS OF NC
NC
01
—
220031677
RAILROAD MEDICARE
—
05
—
89130X2
—
NC
Enumeration date
05/12/2006
Last updated
06/12/2013
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