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NPI Code Detail

MEDICARE: THOMAS P. DAVIS, M. D., P. C

MEDICARE: THOMAS P. DAVIS, M. D., P. C
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
1207Q00000XFamily Medicine Physician0101 014924VA

General Provider Information

NPI Number : 1821326661
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS P. DAVIS, M. D., P. C
Provider Business Mailing Address
First Line : 10 HICKOK ST STE 101
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-3569
Country : US
Telephone Number : 540-382-7787
Fax Number : 540-382-6276
Provider Business Practice Location Address
First Line : 10 HICKOK ST STE 101
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-3569
Country : US
Telephone Number : 540-382-7787
Fax Number : 540-382-6276
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS P. DAVIS
Credential : M.D.
Telephone Number : 540-382-7787
Provider Enumeration Date : 12/04/2009
Last Update Date : 12/04/2009

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