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NPI Code Detail

MEDICARE: DAVIS L CLOWARD MD

MEDICARE: DAVIS L CLOWARD MD
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
1207R00000XInternal Medicine Physician9601578NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669434726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVIS L CLOWARD MD
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-718-4820
Fax Number :
Provider Business Practice Location Address
First Line : 291 BROAD ST
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-2932
Country : US
Telephone Number : 336-993-8181
Fax Number : 336-996-9539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 05/11/2016

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