Individual
ROBIN LYNN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5759
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00636
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00656330
RAILROAD MEDICARE
—
Enumeration date
08/10/2006
Last updated
01/15/2021
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