Davis, Harriet Neely

Davis, Harriet Neely is an individual health care provider with primary practice located at 5815 Blakeney Park Dr Ste 200B , Charlotte NC 28277-5734. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Harriet Neely can be contacted via phone (704) 316-5080.

Contact Information

Primary practice address
5815 Blakeney Park Dr Ste 200B Charlotte NC 28277-5734
Phone: (704) 316-5080
Fax: (704) 316-5085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101234595 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200201452 North Carolina

Profile Details

NPI number 1659346955
LBN Legal business name Davis, Harriet Neely
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659346955 NPPES
South Carolina MEDICAID NC2582
South Carolina MEDICAID 1659346955
South Carolina MEDICAID 005646928
South Carolina MEDICAID 5907115

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