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Walter Etchelles Davis, MD
Specialist in Boone, North Carolina
NPI 1487757977

Walter Etchelles Davis is a Specialist based in Jefferson, NC. Walter Etchelles Davis practices in Boone, NC and has the professional credentials of MD. The NPI Number for Walter Etchelles Davis is 1487757977 and holds a License No. 15051 (North Carolina).

The current practice location address for Walter Etchelles Davis is 184 Virginia Street, Boone, NC and can be reached out via phone at 828-262-4332 and via fax at 828-265-5514.

Location: 184 Virginia Street, Boone, NC, 28640-9392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487757977
Provider Name
Walter Etchelles Davis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
184 Virginia Street, Boone, NC, 28640-9392
Phone Number
828-262-4332
Fax Number
828-265-5514
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0211X 01 NC BLUE CROSS BLUE SHIELD NC
890211X 05 NC
institution
Provider Business Practice Location Address Details
Address
184 Virginia Street
City
Boone
State
North Carolina
Zip
28607
Phone Number
828-262-4332
Fax Number
828-265-5514
person
Provider Business Mailing Address Details
Address
184 Virginia Street
City
Boone
State
North Carolina
Zip
28607
Phone Number
828-262-4332
Fax Number
828-265-5514
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15051 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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