Individual
SHELBY HANNAH DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF ADOLESCENT MEDICINE, PHILADELPHIA, PA 19104
(215) 590-7430
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF ADOLESCENT MEDICINE, PHILADELPHIA, PA 19104
(215) 590-7430
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MT217295
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/30/2015
Last updated
06/30/2019
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