Healthcare Provider Details

I. General information

NPI: 1942761630
Provider Name (Legal Business Name): HARRISON ALEXANDER DAVES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOSPITAL AVE
JEFFERSON NC
28640
US

IV. Provider business mailing address

1 HOSPITAL ROAD
CHEROKEE NC
28719
US

V. Phone/Fax

Practice location:
  • Phone: 336-846-7101
  • Fax:
Mailing address:
  • Phone: 864-542-5703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2022-00768
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: