MEDICARE: MARGARET DAVIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	0101029978	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0101029978	OTHER	VA	LICENCE NUMBER

General Provider Information

NPI Number	:	1447266572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET DAVIS M.D.

Provider Business Mailing Address
First Line	:	8550 ARLINGTON BLVD
Second Line	:	#201
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4634
Country	:	US
Telephone Number	:	703-698-2066
Fax Number	:

Provider Business Practice Location Address
First Line	:	8550 ARLINGTON BLVD
Second Line	:	#201
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4634
Country	:	US
Telephone Number	:	703-698-2066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	09/25/2007

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