Individual
MRS. BEVERLY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017
(540) 362-0360
(540) 362-1448
Mailing address
280 CONCORD CIR, ROCKY MOUNT, VA 24151-2755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110003783
VA LICENSE
VA
Enumeration date
01/05/2012
Last updated
07/16/2025
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