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Individual

DR. WELLINGTON JOSEPH DAVIS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
036-109354
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD432065
PA

Other

Enumeration date
05/21/2007
Last updated
10/01/2019
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