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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010413133
—
VA
05
—
8927879
—
NC
Enumeration date
06/06/2006
Last updated
03/20/2025
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