Davis, Samuel P
Davis, Samuel P is an individual health care provider with primary practice located at 2707 Medical Office Pl , Goldsboro NC 27534-9458. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Davis, Samuel P can be contacted via phone (919) 735-9146.Contact Information
Primary practice address
2707 Medical Office Pl
Goldsboro NC 27534-9458
Phone: (919) 735-9146
Fax: (919) 735-0582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01070226A | Indiana |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 01070226A | Indiana |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 9900469 | North Carolina |
Profile Details
| NPI number | 1982631768 |
|---|---|
| LBN Legal business name | Davis, Samuel P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | May 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982631768 | NPPES |
| North Carolina | Other | 040014729 | PALMETTO GBA-RR MEDICARE |
| North Carolina | MEDICAID | 201036750 | PALMETTO GBA-RR MEDICARE |
| North Carolina | MEDICAID | 891214V | PALMETTO GBA-RR MEDICARE |
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