Provider Demographics
NPI:1386107472
Name:DAVIS, TROY ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:ANTHONY
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 1:8500 AL PHILPOTT HWY
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1495
Mailing Address - Country:US
Mailing Address - Phone:276-226-9925
Mailing Address - Fax:
Practice Address - Street 1:8500 AL PHILPOTT HWY
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1495
Practice Address - Country:US
Practice Address - Phone:276-226-9925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-07
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101284444207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine