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ALONZO JAMES DAVIS IV MD PHDPC NPI 1801010145


NPI Information

NPI: 1801010145
Provider Name: ALONZO JAMES DAVIS IV MD PHDPC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D1020913

Address:
221A PROFESSIONAL CIR
MOREHEAD CITY, NC
ZIP 28557
Phone: (252) 726-5767
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ALONZO JAMES DAVIS IV MD PHDPC is an internal medicine in Morehead City, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALONZO JAMES DAVIS IV MD PHDPC NPI is 1801010145. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221A PROFESSIONAL CIR
MOREHEAD CITY, NC
ZIP 28557-303
Phone: (252) 726-5767
Fax: (252) 726-7573

The provider's authorized official is Alonzo J Davis .
The authorized official title is President and has the following contact phone number (252) 726-5767.

The CLIA number assigned to this NPI record is 34D1020913 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine9401169NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12335951MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE GROUP NUMBER
227291OTHERNORTH CAROLINABCBS GROUP NUMBER
38927768MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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