Individual
SHATARA DEONNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6100
Mailing address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/21/2015
Last updated
06/21/2015
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