Davis, Beverly A

Davis, Beverly A is an individual health care provider with primary practice located at 1301 Medical Dr , Fayetteville NC 28304-4425. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Davis, Beverly A can be contacted via phone (910) 486-5700.

Contact Information

Primary practice address
1301 Medical Dr Fayetteville NC 28304-4425
Phone: (910) 486-5700
Fax: (910) 486-5950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20781 North Carolina
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 20781 North Carolina

Profile Details

NPI number 1750383915
LBN Legal business name Davis, Beverly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 27th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750383915 NPPES
North Carolina MEDICAID 8927302

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