Healthcare Provider Details
I. General information
NPI: 1255470704
Provider Name (Legal Business Name): SHERRI ALLRED DAVIS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 GREEN VALLEY RD THE WOMEN'S HOSPITAL OF GREENSBORO
GREENSBORO NC
27408-7021
US
IV. Provider business mailing address
5912 FOUNDERS DR
GREENSBORO NC
27410-3202
US
V. Phone/Fax
- Phone: 336-832-8120
- Fax:
- Phone: 336-854-1036
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 1849 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: