Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALISHA MICHELLE MAVIS, MD
ActiveALISHA MICHELLE MAVIS, MD is a 2080T0004X healthcare provider located in CHARLOTTE, North Carolina. NPI 1053583823 is currently active in the NPPES registry. Verify at CMS.
2080T0004X · CHARLOTTE, NC
Registration Details
- NPI Number
- 1053583823
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2008 (18.409533313196 yrs)
- Last Updated
- Aug 5, 2024
- Licenses
-
2016-01113 (NC)2016-01113 (NC)2016-01113 (NC)
Practice Information
- Address
-
1001 BLYTHE BLVDMEDICAL CENTER PLAZA SUITE 200CHARLOTTE, NC, 282035866Browse NC providers · Browse ZIP 28203
- Phone
- 7043818840
- Primary Specialty
-
2080T0004X
2080T0004X
- Additional Specialty
- Pediatric Gastroenterology
- Additional Specialty
- 2080T0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.