Individual
MR. BILLY WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
HC 73 BOX 6, GLEN FORK, WV 25845-8824
(304) 682-4425
Mailing address
HC 73 BOX 6, GLEN FORK, WV 25845-8824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60155
WV
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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