Provider Demographics
NPI:1841455896
Name:DAVIS, ANN H (MD)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:H
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ANN
Other - Middle Name:ELIZABETH
Other - Last Name:HUNDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-7623
Mailing Address - Country:US
Mailing Address - Phone:828-692-4289
Mailing Address - Fax:828-482-5380
Practice Address - Street 1:209 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7623
Practice Address - Country:US
Practice Address - Phone:828-482-6160
Practice Address - Fax:828-482-5380
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036127556207Q00000X
IL125054725390200000X
NC2017-02434207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400166748OtherMEDICARE PTAN