Provider Demographics
NPI:1164495040
Name:DAVIS, THOMAS PRESTON (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PRESTON
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 KINGSBURY DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-4264
Mailing Address - Country:US
Mailing Address - Phone:757-546-8013
Mailing Address - Fax:
Practice Address - Street 1:1148 KINGSBURY DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-4264
Practice Address - Country:US
Practice Address - Phone:757-546-8013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0444402086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery