Provider Demographics
NPI:1275215816
Name:DAVIS, SHEREE ANN
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:ANN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 EASTWAY DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-9444
Mailing Address - Country:US
Mailing Address - Phone:704-449-7552
Mailing Address - Fax:980-251-1331
Practice Address - Street 1:1725 EASTWAY DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:NC
Practice Address - Zip Code:28034-9444
Practice Address - Country:US
Practice Address - Phone:704-449-7552
Practice Address - Fax:980-251-1331
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)