Provider Demographics
NPI:1790753549
Name:DAVIS, MARGARET DURRANCE (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:DURRANCE
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 1:4211 STATE HIGHWAY 220
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13830-4305
Mailing Address - Country:US
Mailing Address - Phone:607-843-3101
Mailing Address - Fax:
Practice Address - Street 1:4211 STATE HIGHWAY 220
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NY
Practice Address - Zip Code:13830-4305
Practice Address - Country:US
Practice Address - Phone:607-843-3101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1436181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine