Dr. Thomas John Davidson IV
Primary Podiatric Medicine
1331 Hamilton Ter Se
Roanoke
, Virginia 24014-1805
Dr. Thomas John Davidson IV
Primary Podiatric Medicine
1331 Hamilton Ter Se
Roanoke
, Virginia 24014-1805
(251) 747-4401
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Thomas John Davidson IV
- 1331 Hamilton Ter Se
- Roanoke, VA
- Zip : 24014-1805
- Phone : (251) 747-4401
Second Address
- Dr. Thomas John Davidson IV
- 1331 Hamilton Ter Se
- Roanoke, VA
- Zip : 24014-1805
- Phone : (251) 747-4401
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | SC006438 | PA |
National Provider Identifier
| NPI | 1295171858 |
|---|---|
| Provider Name | Dr. Thomas John Davidson IV |
| First Address | Roanoke, VA 24014-1805 |
| Second Address | Roanoke, VA 24014-1805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2013 |
| Last Update Date | 21/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.