Individual ProviderDavis FreaseAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address100 Brewster Blvd, Camp Lejeune, NC 28547-2575(910) 450-4357(303) 842-2324PECOS EnrollmentBased on the most recent information from CMS, provider Davis Frease does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1104310879Provider TypeIndividualFull NameFrease, DavisTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/18/2018Last Updated7/21/2025Contact InformationPractice LocationPractice Address100 Brewster Blvd, Camp Lejeune, NC 28547-2575Phone(910) 450-4357FaxUnlisted FaxMailing LocationMailing Address53 Bowman Field Cir, Hampstead, NC 28443-0300Phone(303) 842-2324FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense0101267993VirginiaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0101267993VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer