Davison, Tamara
Davison, Tamara is an individual health care provider with primary practice located at 1603 Medical Dr Ste A , Laurinburg NC 28352-5541. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davison, Tamara can be contacted via phone (910) 276-7011.Contact Information
Primary practice address
1603 Medical Dr Ste A
Laurinburg NC 28352-5541
Phone: (910) 276-7011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3789 | North Carolina |
Profile Details
| NPI number | 1487856159 |
|---|---|
| LBN Legal business name | Davison, Tamara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 22nd, 2014 - about 11 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 | 1487856159 | NPPES |
| North Carolina | MEDICAID | 6102963 |
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