Davis, Sandra

Davis, Sandra is an individual health care provider with primary practice located at 2525 Court Dr , Gastonia NC 28054-2140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Davis, Sandra can be contacted via phone (704) 834-2000.

Contact Information

Primary practice address
2525 Court Dr Gastonia NC 28054-2140
Phone: (704) 834-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 042414 North Carolina

Profile Details

NPI number 1780627869
LBN Legal business name Davis, Sandra
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1780627869 NPPES
South Carolina MEDICAID NAN470
South Carolina MEDICAID 8050592

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