Healthcare Provider Details
I. General information
NPI: 1124363163
Provider Name (Legal Business Name): ZOLEE VIEL DAVIS-ROBINSON PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/03/2012
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1505 BEARHOLLOW RD SUITE LOWER
GREENSBORO NC
27410-3613
US
IV. Provider business mailing address
610 PEMBROKE RD SUITE NUMBER 10054
GREENSBORO NC
27408-7608
US
V. Phone/Fax
- Phone: 336-541-6963
- Fax:
- Phone: 336-541-6963
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1744P3200X |
| Taxonomy | Prosthetics Case Management |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: