Individual
MARTHA ELLEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1503 SANTA ROSA RD, SUITE 105, RICHMOND, VA 23229-5105
(804) 673-0100
(804) 673-0100
Mailing address
1503 SANTA ROSA RD, SUITE 105, RICHMOND, VA 23229-5105
(804) 673-0100
(804) 673-0100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101049714
VA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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