Davis, Leon D

Davis, Leon D is an individual health care provider with primary practice located at 245 Memorial Dr , Jacksonville NC 28546-6333. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, Leon D can be contacted via phone (910) 353-4333.

Contact Information

Primary practice address
245 Memorial Dr Jacksonville NC 28546-6333
Phone: (910) 353-4333
Fax: (910) 353-6529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21336 North Carolina

Profile Details

NPI number 1144226408
LBN Legal business name Davis, Leon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jan 9th, 2008 - 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 1144226408 NPPES
North Carolina MEDICAID 8927452

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