Individual
MS. CAROLYN B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
131 WELTON WAY, MOORESVILLE, NC 28117
(704) 360-4564
(704) 360-4553
Mailing address
131 WELTON WAY, MOORESVILLE, NC 28117
(704) 360-4564
(704) 360-4553
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201516
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004074
—
NC
Enumeration date
06/28/2006
Last updated
04/25/2016
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