Individual
CAROLINE LOVE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8000
Mailing address
4141 N HENDERSON RD, APT 1013, ARLINGTON, VA 22203-2486
(703) 655-5997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005338
VA
363A00000X
Physician Assistant
C06743
MD
Other
Enumeration date
06/14/2016
Last updated
09/20/2024
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