Individual
MS. MARLA MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 POWER ST, SALISBURY, MD 21804-6940
(410) 543-2060
(410) 543-2051
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(107) 491-0154
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006966
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
09/21/2018
Last updated
12/20/2022
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