Dr Robert A Davis Jr, MD | |
203-b Earnhardt Dr., Ecu Physicians Surgery Chowan Hospital, Edenton, NC 27932 | |
(252) 482-5868 | |
(252) 482-7953 |
Full Name | Dr Robert A Davis Jr |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 203-b Earnhardt Dr., Edenton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578564332 | NPI | - | NPPES |
020051953 | Other | NC | RAILROAD MEDICARE |
27914 | Other | NC | BCBS NC |
8927914 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 30145 (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
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Dr Robert A Davis Jr, MD Po Box 751069, Ecu Physicians, Charlotte, NC 28275-1069 Ph: () - | Dr Robert A Davis Jr, MD 203-b Earnhardt Dr., Ecu Physicians Surgery Chowan Hospital, Edenton, NC 27932 Ph: (252) 482-5868 |
Ashley Lang Marlowe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 203 Earnhart Dr Ste B, Edenton, NC 27932 Phone: 252-482-5868 Fax: 252-482-7953 | |
Dr. Mehm T Thaung, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: Chowan Medical Center, 201 Virginia Road, Edenton, NC 27932 Phone: 252-482-2116 Fax: 252-482-6274 |