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Individual

TIMOTHY MARK DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 258-1800
(276) 619-2497
Mailing address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 258-1800
(276) 619-2497

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101241203
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101241203
VA
207RH0003X
Hematology & Oncology Physician
33807
NC
207RX0202X
Medical Oncology Physician
010241203
VA
207RX0202X
Medical Oncology Physician
36421
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010413133
VA
05
1407896947
WV
05
8927879
NC
Enumeration date
06/06/2006
Last updated
05/28/2026
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