| Nicole Lee Davis, Pllc | |
|
319 Court Sq Sanford NC 27330-5658 | |
| (336) 501-6665 | |
| Not Available |
| Full Name | Nicole Lee Davis, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 319 Court Sq, Sanford, North Carolina |
| Authorized Official Name and Position | Nicole L Davis (COUNSELOR) |
| Authorized Official Contact | 3365016665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lee Davis, Pllc 600 W Chisholm St Sanford NC 27330-3759 Ph: (336) 501-6665 | Nicole Lee Davis, Pllc 319 Court Sq Sanford NC 27330-5658 Ph: (336) 501-6665 |
| NPI Number | 1700651437 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 9537506175 |
|---|---|
| Medicare Enrollment ID | O20240319002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700651437 | NPI | - | NPPES |
| Provider Name | Nicole Lee Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083241681 PECOS PAC ID: 0446697080 Enrollment ID: I20240319002242 |
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