Individual
GARY M DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8109 HINSON FARM RD, SUITE 504, ALEXANDRIA, VA 22306-3415
(703) 780-2800
(703) 780-0461
Mailing address
8109 HINSON FARM RD, SUITE 504, ALEXANDRIA, VA 22306-3415
(703) 780-2800
(703) 780-0461
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101250753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163593
—
PA
Enumeration date
06/22/2005
Last updated
10/20/2011
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