Individual
DR. RAE J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19500 SANDRIDGE WAY, STE 100, LANSDOWNE, VA 20176-3688
(703) 738-4344
Mailing address
11350 MCCORMICK RD EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031
(703) 738-4331
(703) 560-8214
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101246574
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
0101246574
VA
Other
Enumeration date
06/23/2006
Last updated
07/24/2019
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