Individual
ERIC N DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 EXECUTIVE DR, SUITE H, DANVILLE, VA 24541-4155
(434) 791-1345
Mailing address
125 EXECUTIVE DR, SUITE H, DANVILLE, VA 24541-4155
(434) 791-1345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101030796
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006095372
—
VA
01
—
012791
ANTHEM
VA
05
—
8905390
—
NC
Enumeration date
06/05/2006
Last updated
06/10/2010
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