Healthcare Provider Details

I. General information

NPI: 1528008265
Provider Name (Legal Business Name): ALAN SHAY DAVIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3427 MELROSE RD
FAYETTEVILLE NC
28304-1608
US

IV. Provider business mailing address

2029 VALLEY GATE DR SUITE 101
FAYETTEVILLE NC
28304-3688
US

V. Phone/Fax

Practice location:
  • Phone: 910-864-8739
  • Fax:
Mailing address:
  • Phone: 910-323-2103
  • Fax: 910-323-2219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number9800231
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number9800231
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: