MEDICARE: JEFF E DAVIS 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	208D00000X	General Practice Physician	29251	NC

General Provider Information

NPI Number	:	1831277912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFF E DAVIS M.D

Provider Business Mailing Address
First Line	:	PO BOX 2318
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-2318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BIRD LANE
Second Line	:	UNIVERSITY HEALTH CENTER
City	:	CULLOWHEE
State	:	NC
Zip	:	28723
Country	:	US
Telephone Number	:	828-227-7640
Fax Number	:	828-227-7400

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/09/2007

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