Fishburne, Cary Nelson Davis

Fishburne, Cary Nelson Davis is an individual health care provider with primary practice located at 10220 Prosperity Park Dr Ste 300 , Charlotte NC 28269-1106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Fishburne, Cary Nelson Davis can be contacted via phone (704) 316-1120.

Contact Information

Primary practice address
10220 Prosperity Park Dr Ste 300 Charlotte NC 28269-1106
Phone: (704) 316-1120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9601608 North Carolina
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 40796 South Carolina

Profile Details

NPI number 1285624031
LBN Legal business name Fishburne, Cary Nelson Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jan 4th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285624031 NPPES
North Carolina MEDICAID 891332Y

Popular Providers