| Davis Med Pllc | |
|
515 Ray C. Hunt Dr Charlottesville VA 22903 | |
| (434) 244-2000 | |
| Not Available |
| Full Name | Davis Med Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 515 Ray C. Hunt Dr, Charlottesville, Virginia |
| Authorized Official Name and Position | Emily Bush Davis (PRESIDENT/OWNER) |
| Authorized Official Contact | 8049284635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Med Pllc 9071 Lindstrom Pl Mechanicsville VA 23116-4925 Ph: (804) 928-4635 | Davis Med Pllc 515 Ray C. Hunt Dr Charlottesville VA 22903 Ph: (434) 244-2000 |
| NPI Number | 1003510025 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 0143687376 |
|---|---|
| Medicare Enrollment ID | O20230602002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003510025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Emily B Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689801672 PECOS PAC ID: 6507029675 Enrollment ID: I20120530000276 |
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