Individual
SCOTT EDWARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 HAL GREER BLVD, HUNTINGTON, WV 25701-3803
(304) 525-0572
(304) 529-1119
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5151
(304) 523-8115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23573
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000642513
ANTHEM
WV
05
—
2989100
—
OH
05
—
3810015085
—
WV
05
—
7100079340
—
KY
Enumeration date
05/09/2007
Last updated
07/16/2024
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