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Individual

AMY NOBLE DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1450 COLUMBUS AVE STE 103, WASHINGTON COURT HOUSE, OH 43160-3701
(740) 333-2243
(740) 333-2248
Mailing address
1450 COLUMBUS AVE STE B 6-7-8, WASHINGTON COURT HOUSE, OH 43160-3701
(740) 333-2236
(740) 333-3881

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077380
OH
Enumeration date
10/16/2012
Last updated
07/14/2020
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