Provider Demographics
NPI:1619203650
Name:DAVIS, SUSAN FISCHER (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:FISCHER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:HENRICO COUNTY HEALTH DEPARTMENT
Mailing Address - Street 2:8600 DIXON POWERS DRIVE, P.O. BOX 90775
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23273-0775
Mailing Address - Country:US
Mailing Address - Phone:804-501-4522
Mailing Address - Fax:804-501-4983
Practice Address - Street 1:HENRICO COUNTY HEALTH DEPARTMENT
Practice Address - Street 2:8600 DIXON POWERS DRIVE
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23273-0775
Practice Address - Country:US
Practice Address - Phone:804-501-4522
Practice Address - Fax:804-501-4983
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010588272083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine