| Davidson Psr | |
|
220 E 1st Ave Lexington NC 27292-3317 | |
| (336) 242-2406 | |
| Not Available |
| Full Name | Davidson Psr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 E 1st Ave, Lexington, North Carolina |
| Authorized Official Name and Position | Kevin Cochran (FINANCIAL ASSISTANT) |
| Authorized Official Contact | 9198663287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davidson Psr 1331 Sunday Dr Raleigh NC 27607-5166 Ph: (919) 866-3287 | Davidson Psr 220 E 1st Ave Lexington NC 27292-3317 Ph: (336) 242-2406 |
| NPI Number | 1407977663 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407977663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-029-100 (North Carolina) | Primary |
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