Southlake Psychiatry PC
Southlake Psychiatry PC provides Psychiatry Physician services in Davidson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
903 NE Dr Ste 301Davidson, NC 28036
Phone: (704) 894-9309
Fax: (704) 894-9304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 9300112 (NC) |
|---|
Record details
| NPI number | 1295921724 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Fitzgerald — President · (704) 894-9309 |
| NPI enumerated | September 18, 2007 |
| Last updated in NPPES | August 1, 2025 |
| Certification date | August 1, 2025 |
| Mailing address | 903 Northeast Dr, Suite 301, Davidson, NC 28036-7416 |
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Dr. Ifeanyi Sharon Walson, DO
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William Clay Wolters Jr., DO
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