Individual
MRS. MEREDITH HARDEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
191135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00635040
RAILROAD MEDICARE
—
Enumeration date
05/28/2008
Last updated
04/05/2011
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