Mavis, Alisha Michelle

Mavis, Alisha Michelle is an individual health care provider with primary practice located at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte NC 28203-5866. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mavis, Alisha Michelle can be contacted via phone (704) 381-8840.

Contact Information

Primary practice address
1001 Blythe Blvd Medical Center Plaza Suite 200 Charlotte NC 28203-5866
Phone: (704) 381-8840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2016-01113 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology 2080T0004X 2016-01113 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016-01113 North Carolina

Profile Details

NPI number 1053583823
LBN Legal business name Mavis, Alisha Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Dec 18th, 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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