Provider Demographics
NPI:1770579930
Name:DAVIS, ALISHA ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:ALISHA
Middle Name:ANNE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 STRICKLAND RD STE 115
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3189
Mailing Address - Country:US
Mailing Address - Phone:919-615-2257
Mailing Address - Fax:919-615-2347
Practice Address - Street 1:7901 STRICKLAND RD STE 115
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3189
Practice Address - Country:US
Practice Address - Phone:919-615-2257
Practice Address - Fax:919-615-2347
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2452928Medicaid
NC890834EMedicaid
NC890834EMedicaid