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Individual
ARDRA R DAVIS-TOLBERT
Active
Individual
ARDRA R DAVIS-TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
225851
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225851
—
SC
Enumeration date
07/17/2006
Last updated
07/11/2016
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