Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 96-01288 | NC |
N | 111NI0900X | Internist | 96-01288 | NC |
N | 207RA0201X | Internist - Allergy & Immunology | 96-01288 | NC |
N | 207RP1001X | Pulmonary Disease | 96-01288 | NC |
NPI | 1689741126 |
---|---|
Provider Name | Angela Davis |
First Address | Rtp, NC 27709 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |