Provider Demographics
NPI:1447269733
Name:DAVIS, GARTH P (MD)
Entity type:Individual
Prefix:DR
First Name:GARTH
Middle Name:P
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SCHENCK PKWY
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3499
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL DR STE 3400
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4550
Practice Address - Country:US
Practice Address - Phone:713-464-6000
Practice Address - Fax:713-464-6002
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2215208600000X
NC2018-00165208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX020050925OtherRAILROAD MEDICARE
TX145996801Medicaid
TX2656199OtherAETNA
TX6724079002OtherCIGNA
TX89351GOtherBLUE CROSS
TX145996801Medicaid
TX2656199OtherAETNA