Individual
CLAYTON CAVANAUGH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 439-1000
Mailing address
PO BOX 1535, WISE, VA 24293-1535
(276) 439-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116030970
VA
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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