Organization
PHYSICAL MEDICINE/REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLETTE MARTIN-DAVIS (MD)
(301) 860-0305
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE 324 B, BOWIE, MD 20716-3104
(301) 860-0306
(301) 860-0307
Mailing address
4000 MITCHELLVILLE RD, SUITE 324 B, BOWIE, MD 20716-3104
(301) 860-0306
(301) 860-0307
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0050415
MD
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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