Dantre Davis, PA-C
Individual provider Active NPI Physician Assistant · Asheboro, NC
NPI 1831554666 · NPPES record last updated Dec 21, 2015
Key facts
- NPI
- 1831554666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-06112 (NC)
- Practice address
- 364 White Oak St
Asheboro, NC 27203-5434 - Phone
- (478) 284-7024
- NPI assigned
- Dec 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-06112 | NC | Yes |
Addresses
Primary practice location
364 White Oak St
Asheboro, NC 27203-5434
Mailing address
179 Gleneagle Dr
Byron, GA 31008-3807
Phone (478) 284-7024
Other providers in Asheboro, NC
- Arist Maness Dagout
- Daniel Max & Marcandrea LLC
- John Robert Darwin
- David B Malin DDS
- Casonja Davis
- Sara R Davis
- Wendy L Davis
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
All providers in Asheboro, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.