Cornelia Nixon Davis, Inc. | |
1013 Porters Neck Rd Ste 100 Wilmington NC 28411-9196 | |
(910) 686-7195 | |
(910) 772-9452 |
Full Name | Cornelia Nixon Davis, Inc. |
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Speciality | Internal Medicine |
Location | 1013 Porters Neck Rd Ste 100, Wilmington, North Carolina |
Authorized Official Name and Position | Charles Allen Long (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9106867195 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cornelia Nixon Davis, Inc. 1013 Porters Neck Rd Ste 100 Wilmington NC 28411-9196 Ph: (910) 686-7195 | Cornelia Nixon Davis, Inc. 1013 Porters Neck Rd Ste 100 Wilmington NC 28411-9196 Ph: (910) 686-7195 |
NPI Number | 1972735330 |
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Provider Enumeration Date | 08/19/2009 |
Last Update Date | 08/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972735330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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