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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750383915 | NPPES |
| North Carolina | MEDICAID | 8927302 |
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