Davis, Timothy Mark

Davis, Timothy Mark is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr , Abingdon VA 24211-7659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Davis, Timothy Mark can be contacted via phone (276) 258-1800.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Abingdon VA 24211-7659
Phone: (276) 258-1800
Fax: (276) 619-2497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 33807 North Carolina
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 010241203 Virginia

Profile Details

NPI number 1407896947
LBN Legal business name Davis, Timothy Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated May 22nd, 2012 - about 12 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 1407896947 NPPES
Virginia MEDICAID 010413133
Virginia MEDICAID 8927879

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