Heron-Davis, Ruthann Alethia

Heron-Davis, Ruthann Alethia is an individual health care provider with primary practice located at 150 Providence Rd , Charlotte NC 28207-1218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Heron-Davis, Ruthann Alethia can be contacted via phone (704) 973-2106.

Contact Information

Primary practice address
150 Providence Rd Charlotte NC 28207-1218
Phone: (704) 973-2106
Fax: (704) 973-2395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 200401226 North Carolina

Profile Details

NPI number 1790784569
LBN Legal business name Heron-Davis, Ruthann Alethia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jun 14th, 2023 - about 3 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 1790784569 NPPES
North Carolina MEDICAID 790182R
North Carolina MEDICAID 89138H5

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