Individual
DANTRE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(478) 284-7024
Mailing address
179 GLENEAGLE DR, BYRON, GA 31008-3807
(478) 284-7024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06112
NC
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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