Individual
DR. HAYWOOD HOWARD DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101028298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139178
BCBS
VA
01
—
300062770
RR MEDICARE
VA
01
—
42210
OPTIMA
VA
05
—
7238398
—
VA
05
—
89064VP
—
NC
Enumeration date
12/07/2005
Last updated
02/07/2014
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