Davidson, Gary M

Davidson, Gary M is an individual health care provider with primary practice located at 8109 Hinson Farm Rd Suite 504, Alexandria VA 22306-3415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Davidson, Gary M can be contacted via phone (703) 780-2800.

Contact Information

Primary practice address
8109 Hinson Farm Rd Suite 504 Alexandria VA 22306-3415
Phone: (703) 780-2800
Fax: (703) 780-0461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 0101250753 Virginia

Profile Details

NPI number 1609872993
LBN Legal business name Davidson, Gary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Oct 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609872993 NPPES
Pennsylvania MEDICAID 1163593

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