Provider Demographics
NPI:1497632467
Name:DAVIS, WILLIAM ADWORD IV
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ADWORD
Last Name:DAVIS
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4913 BLUE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2979
Mailing Address - Country:US
Mailing Address - Phone:919-623-0674
Mailing Address - Fax:
Practice Address - Street 1:640 TIMBER DR E # 140
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7882
Practice Address - Country:US
Practice Address - Phone:615-933-9605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician