IndividualActive
Shaka-Con Davis
NPI 1043997968 · Prevention Professional · Charlotte, NC
Provider details
- NPI number
- 1043997968
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1111111111111 (NC)
Specialties & taxonomies
Other Service Providers
Practice location
1909 J N Pease Pl Ste 104
Charlotte, NC 28262-4561
Phone: (980) 224-8078
Approximate (ZIP-level) locationGet directions
Mailing address
1909 J N Pease Pl Ste 104
Charlotte, NC 28262-4561
Registry dates
- Enumerated
- 2023-07-03
- Last updated
- 2023-07-03
- Certified
- 2023-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.