Individual
DR. THOMAS JOHN DAVIDSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1331 HAMILTON TER SE, ROANOKE, VA 24014-1805
(251) 747-4401
Mailing address
1331 HAMILTON TER SE, ROANOKE, VA 24014-1805
(251) 747-4401
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC006438
PA
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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