Individual
LAURA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 KNOTBREAK RD, SALEM, VA 24153
(540) 444-5670
(540) 444-5669
Mailing address
100 KNOTBREAK RD, SALEM, VA 24153-5414
(540) 444-5670
(540) 444-5669
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002895
VA
Other
Enumeration date
09/24/2008
Last updated
09/29/2022
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