Mr Thad J Davis, is a
Community/behavioral Health based in Maxton, North Carolina. Mr Thad J Davis is licensed to practice in * (Not Available) (license number ) and his current practice location is
22421 Andrew Jackson Hwy, Maxton, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 844-2008.
NPI number for Mr Thad J Davis is 1326173840 and his current mailing address is Po Box 159, Saint Pauls, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326173840.
Healthcare Provider's Profile
| Full Name | Mr Thad J Davis |
|---|
| Gender | Male |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 22421 Andrew Jackson Hwy, Maxton, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326173840
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 02/20/2009
Medical Identifiers
Medical identifiers for Mr Thad J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326173840 | NPI | - | NPPES |
| 8301878 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thad J Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Thad J Davis,
Po Box 159,
Saint Pauls, NC 28384-0159
Ph: (910) 865-3500 | Mr Thad J Davis,
22421 Andrew Jackson Hwy,
Maxton, NC 28364-6721
Ph: (910) 844-2008 |
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