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General NPI Number Information
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NPI Number | 1447220199
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Entity Type | Individual
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Provider Name | CARRIE BETH DAVIS MD
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Gender | Female
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 23250 CHAGRIN BLVD BLD 5 STE 440
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City | BEACHWOOD
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State | OH
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Zip | 44122-5470
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Country | US
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Telephone | 216-514-1864
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Fax | 216-514-1867
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Provider Business Mailing Address
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Address Line | 23250 CHAGRIN BLVD BLDG #5 SUITE 440
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-514-1864
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Fax | 216-514-1867
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35055662D
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License Number State | OH
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