Most Relevant Information
Provider Data
| NPI Number: | 1003053935 |
| Provider Name: | PHILIP MAXIMILIAN DAYVAULT PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-01670 |
Most Important Dates
| Enumeration Date: | 01/14/2009 |
| Last Updated: | 11/26/2014 |
Provider Practice Location
1035 LINCOLNTON RD
SALISBURY
NC
281446277
Practice Location Phone/Fax
| Phone: | 7046389990 |
| Fax: | 7046390785 |
Provider Mailing Location
1718 E 4TH ST
SUITE 902
CHARLOTTE
NC
282043261
Provider Mailing Phone/Fax
| Phone: | 7046389990 |
| Fax: | 7046390785 |