Individual
REGINA DENISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3960 TURNPIKE ROAD, JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC, PORTSMOUTH, VA 23701
(757) 393-1136
(757) 393-5534
Mailing address
3960 TURNPIKE ROAD, JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC, PORTSMOUTH, VA 23701
(757) 393-1136
(757) 393-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101049715
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005630339
—
VA
Enumeration date
08/11/2006
Last updated
10/10/2014
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