Provider Demographics
NPI:1275795064
Name:DAVIS, LINDA M (PA-C)
Entity Type:Individual
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First Name:LINDA
Middle Name:M
Last Name:DAVIS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2215 E WATERLOO RD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3814
Mailing Address - Country:US
Mailing Address - Phone:330-208-2720
Mailing Address - Fax:330-208-2721
Practice Address - Street 1:2215 E WATERLOO RD
Practice Address - Street 2:SUITE 313
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-3814
Practice Address - Country:US
Practice Address - Phone:330-208-2721
Practice Address - Fax:330-208-2721
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2011-06-21
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Provider Licenses
StateLicense IDTaxonomies
OH50001538363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant