Individual
MOLLIE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
31 ROBINSON RD, SEVERNA PARK, MD 21146-2841
(410) 544-5900
(410) 556-8614
Mailing address
31 ROBINSON RD, SEVERNA PARK, MD 21146-2841
(410) 544-5900
(410) 556-8614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0065490
MD
208000000X
Pediatrics Physician
D0065490
MD
2083X0100X
Occupational Medicine Physician
D65490
MD
Other
Enumeration date
01/25/2007
Last updated
08/28/2024
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