Individual
GINA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7610 CARROLL AVE STE 100, TAKOMA PARK, MD 20912-6311
(301) 891-2500
(301) 448-1679
Mailing address
7610 CARROLL AVE STE 100, TAKOMA PARK, MD 20912-6311
(301) 891-2500
(301) 448-1679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007816
MD
Other
Enumeration date
02/29/2020
Last updated
03/23/2023
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