Provider Demographics
NPI:1205819786
Name:DAVIS, ABBY WARNER (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:WARNER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3676
Mailing Address - Country:US
Mailing Address - Phone:717-851-5001
Mailing Address - Fax:717-851-5114
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-5001
Practice Address - Fax:717-851-5114
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD061191L207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30147670OtherAMERIHEALTH CARITAS-GH
PA30124636OtherAMERIHEALTH MERCY - WSRH
PA1368102OtherBLUE SHIELD OF PA
PA0017954550002Medicaid
H15906Medicare UPIN
PA30124636OtherAMERIHEALTH MERCY - WSRH
PA037922GVQMedicare PIN
PA037922YH1FMedicare PIN