Organization
NICHOLETTE MARTIN-DAVIS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLETTE MARTIN-DAVIS MD (OWNER)
(301) 860-0305
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE B322, BOWIE, MD 20716-3104
(301) 860-0305
(301) 860-0307
Mailing address
4000 MITCHELLVILLE RD, SUITE B322, BOWIE, MD 20716-3104
(301) 860-0305
(301) 860-0307
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0050415
MD
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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