Organization · NPI-2

Nicholette Martin-Davis MD LLC

Physical Medicine & Rehabilitation, Pain Medicine · Bowie, MD

NPI number1194998559
StatusActive
Last updated in NPPESApr 8, 2008

Details

NPI
1194998559
Entity type
Organization (NPI-2)
Legal business name
Nicholette Martin-Davis MD LLC
Organization subpart
No
Enumeration date
Apr 8, 2008
Last updated
Apr 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain MedicineD0050415MDYes

Practice location

4000 Mitchellville Rd
Suite B322
Bowie, MD 20716-3104

Phone 301-860-0305 · Fax 301-860-0307

Mailing address

4000 Mitchellville Rd
Suite B322
Bowie, MD 20716-3104

Phone 301-860-0305 · Fax 301-860-0307

Authorized official

Nicholette Martin-Davis
Owner
3018600305

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