Individual
WILLIAM JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY COR
Contact information
Practice address
204 STONEHALL CT, VIRGINIA BEACH, VA 23462-4356
(757) 262-7424
Mailing address
5572 WESTLAND STATION RD, JACKSONVILLE, FL 32244-7822
(904) 696-5078
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/22/2007
Last updated
10/16/2008
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