Individual
JEFFREY DEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 EAST JEFFERSON ST, STE 202, CHARLOTTESVILLE, VA 22902-5354
(434) 977-7950
(434) 295-4470
Mailing address
1011 EAST JEFFERSON ST, STE 202, CHARLOTTESVILLE, VA 22902-5354
(434) 977-7950
(434) 295-4470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101050714
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006009395
—
VA
01
—
020359
BCBS
VA
Enumeration date
04/08/2006
Last updated
12/18/2018
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