Provider Demographics
NPI:1538326673
Name:DAVIS, FLORENCE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:ELIZABETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3000 BETHESDA PL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3331
Mailing Address - Country:US
Mailing Address - Phone:336-765-9750
Mailing Address - Fax:336-998-1932
Practice Address - Street 1:3000 BETHESDA PL
Practice Address - Street 2:SUITE 101
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3331
Practice Address - Country:US
Practice Address - Phone:336-765-9750
Practice Address - Fax:336-998-1932
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC275842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry