Organization
CORNELIA NIXON DAVIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ALLEN LONG (EXECUTIVE DIRECTOR)
(910) 686-7195
Entity
Organization
Contact information
Practice address
1013 PORTERS NECK RD STE 100, WILMINGTON, NC 28411-9196
(910) 686-7195
(910) 772-9452
Mailing address
1013 PORTERS NECK RD STE 100, WILMINGTON, NC 28411-9196
(910) 686-7195
(910) 772-9452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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