Organization
REGIONAL RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C. DAVIS MD (PRESIDENT)
(410) 849-3340
Entity
Organization
Contact information
Practice address
845 COACHWAY, ANNAPOLIS, MD 21401-6477
(410) 849-3340
(410) 849-3340
Mailing address
845 COACHWAY, ANNAPOLIS, MD 21401-6477
(410) 849-3340
(410) 849-3340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374315
—
TN
01
—
CJ5553
RAILROAD MEDICARE
—
Enumeration date
09/07/2005
Last updated
08/22/2020
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