Davis, Ronald Lee

Davis, Ronald Lee is an individual health care provider with primary practice located at 140 Charlois Blvd , Winston Salem NC 27103-1522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davis, Ronald Lee can be contacted via phone (336) 716-4131.

Contact Information

Primary practice address
140 Charlois Blvd Winston Salem NC 27103-1522
Fax: (336) 713-0328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 31268 North Carolina

Profile Details

NPI number 1528054673
LBN Legal business name Davis, Ronald Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 15th, 2021 - about 3 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 1528054673 NPPES
North Carolina MEDICAID 8927764

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