Individual
BONNIE C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-1571
(202) 865-3285
Mailing address
2041 GEORGIA AVE NW STE 6101, WASHINGTON, DC 20060-0001
(202) 865-6679
(202) 865-3138
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD17436
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035687300
—
DC
Enumeration date
11/28/2006
Last updated
07/31/2019
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