Provider Demographics
NPI:1104797125
Name:SUMLAR-DAVIS, ARIESHA SHAWNTE
Entity type:Individual
Prefix:
First Name:ARIESHA
Middle Name:SHAWNTE
Last Name:SUMLAR-DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11523 FOX TROT DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1544
Mailing Address - Country:US
Mailing Address - Phone:866-606-3356
Mailing Address - Fax:
Practice Address - Street 1:2315 W ARBORS DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2698
Practice Address - Country:US
Practice Address - Phone:866-606-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy