Davis, Richard W

Davis, Richard W is an individual health care provider with primary practice located at 1627 Seymour Dr , South Boston VA 24592-3428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Richard W can be contacted via phone (434) 517-0611.

Contact Information

Primary practice address
1627 Seymour Dr South Boston VA 24592-3428
Phone: (434) 517-0611
Fax: (434) 572-6675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101044667 Virginia

Profile Details

NPI number 1225030091
LBN Legal business name Davis, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 15th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225030091 NPPES
Other 110164769 RR/MED
Other 241669 RR/MED
MEDICAID 605634-2 RR/MED

Popular Providers