MEDICARE: MAUREEN E BEN-DAVIES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2010-01892	NC
2	208000000X	Pediatrics Physician	166908	NC

General Provider Information

NPI Number	:	1306093646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN E BEN-DAVIES M.D.

Provider Business Mailing Address
First Line	:	301 E WENDOVER AVE STE 400
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1207
Country	:	US
Telephone Number	:	336-832-3150
Fax Number	:	336-832-3151

Provider Business Practice Location Address
First Line	:	301 E WENDOVER AVE STE 400
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1207
Country	:	US
Telephone Number	:	336-832-3150
Fax Number	:	336-832-3151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	02/03/2021

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