Individual
DR. HEATHER HOLLOWELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 938-3488
Mailing address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 938-3488
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0061131
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405521700
—
MD
Enumeration date
06/08/2006
Last updated
06/08/2021
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