Individual
NATTIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5950 FAIRVIEW RD STE 618, CHARLOTTE, NC 28210-3113
(980) 895-5517
Mailing address
PO BOX 1019, GLENSIDE, PA 19038-6019
(610) 457-4845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871700514
—
PA
Enumeration date
11/04/2021
Last updated
11/04/2021
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