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Individual

REMONIA OULDS DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2215 LANDOVER PLACE, LYNCHBURG, VA 24506
(434) 386-3541
(434) 386-3577
Mailing address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 386-3541
(434) 386-3577

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002517
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110002517
MEDICAL LICENSE
VA
01
1065778
PA CERTIFICATE NUMBER
VA
Enumeration date
06/21/2007
Last updated
10/30/2012
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