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NPI Code Detail

MEDICARE: JOSEPH DAVIS NP

MEDICARE:   JOSEPH  DAVIS  NP
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
1363LF0000XFamily Nurse Practitioner0024124031VA

General Provider Information

NPI Number : 1609854736
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH DAVIS NP
Provider Business Mailing Address
First Line : HIGHWAY 15 SOUTH
Second Line :
City : NEW CANTON
State : VA
Zip : 23123
Country : US
Telephone Number : 434-581-3271
Fax Number : 434-581-1105
Provider Business Practice Location Address
First Line : 165 LEGRANDE AVE
Second Line :
City : CHARLOTTE COURT HOUSE
State : VA
Zip : 23923-3747
Country : US
Telephone Number : 434-542-5560
Fax Number : 434-542-5745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 07/08/2007

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