Individual
DR. EILEEN MARY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
201 W MARKET ST, GEORGETOWN, DE 19947
(302) 856-2254
(302) 856-2330
Mailing address
201 W MARKET ST, GEORGETOWN, DE 19947
(302) 856-2254
(302) 856-2330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0006045
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001044304
—
DE
01
—
C2-0006045
LICENSE
—
Enumeration date
10/05/2006
Last updated
04/30/2013
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