Provider Demographics
NPI:1104029602
Name:DAVIS, CECIL MANNING (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CECIL
Middle Name:MANNING
Last Name:DAVIS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 E MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-7997
Mailing Address - Country:US
Mailing Address - Phone:336-904-1760
Mailing Address - Fax:866-928-3983
Practice Address - Street 1:1031 E MOUNTAIN ST BLDG 319
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-7998
Practice Address - Country:US
Practice Address - Phone:336-904-1760
Practice Address - Fax:866-928-3983
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC117361835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric