Individual
RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5610 WILLIAMSON RD, ROANOKE, VA 24012-1442
(540) 265-8924
Mailing address
5610 WILLIAMSON RD, ROANOKE, VA 24012-1442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-006778
VA
363A00000X
Physician Assistant
Primary
0110006778
VA
Other
Enumeration date
09/03/2019
Last updated
02/19/2025
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