# MOLLIE M DAVIS MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MD Med-Peds, MD Medicine & Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750166294
- **Authorized official:** DR. MOLLIE M DAVIS MD (OWNER)
- **Authorized official phone:** (410) 544-5900

## Contact information

- **Practice address:** 31 ROBINSON RD, SEVERNA PARK, MD 21146-2841
- **Practice address phone:** (410) 544-5900
- **Practice address fax:** (410) 556-8614
- **Mailing address:** 31 ROBINSON RD, SEVERNA PARK, MD 21146-2841
- **Mailing address phone:** (443) 494-9767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 12/12/2023