Individual
THOMAS PORTER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18520 BARNESVILLE RD, DICKERSON, MD 20842-9791
(301) 349-2886
Mailing address
18520 BARNESVILLE RD, DICKERSON, MD 20842-9791
(301) 349-2886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0050839
MD
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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