Doctor Name: | JEFF E DAVIS |
NPI Number: | 1831277912 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 29251 |
Business Practice Address: | 1 Bird Lane University Health Center Cullowhee, NC - 28723 |
Business Phone Number: | 8282277640 |
Business Fax Number: | 8282277400 |
Mailing Address: | Po Box 2318, CULLOWHEE |
State: | NC |
Postal Code: | 287232318 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 29251 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |