Individual
MIKEL WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 MARKET ST, PARKERSBURG, WV 26101-4323
(304) 865-5420
(304) 865-5423
Mailing address
115 1/2 W MAIN ST, PADEN CITY, WV 26159-1425
(304) 337-8587
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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