Individual
PEYTON WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, SUITE 200, WINSTON SALEM, NC 27103-3013
(336) 718-9080
(336) 718-9085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-9080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9901158
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134Y2
BC
—
05
—
89134Y2
—
NC
Enumeration date
12/09/2005
Last updated
08/03/2023
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