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NPI Code Detail

MEDICARE: STEPHEN T MCDAVID D.O.

MEDICARE: STEPHEN T MCDAVID D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician17316MS
22083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician17316MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013958644
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN T MCDAVID D.O.
Provider Business Mailing Address
First Line : 2101 HIGHWAY 90
Second Line :
City : GAUTIER
State : MS
Zip : 39553-5340
Country : US
Telephone Number : 228-497-7576
Fax Number : 228-497-8869
Provider Business Practice Location Address
First Line : 3109 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-4361
Country : US
Telephone Number : 228-818-1158
Fax Number : 228-762-3147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 02/03/2022

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Directions to “ STEPHEN T MCDAVID D.O.” Practice Location

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