Individual
MR. ROGER WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 MORRIS LN, MONTROSS, VA 22520-2952
(804) 493-3214
(804) 493-3215
Mailing address
539 MORRIS LN, MONTROSS, VA 22520-2952
(804) 493-3214
(804) 493-3215
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
VA
Other
Enumeration date
11/02/2017
Last updated
07/21/2022
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