MEDICARE: AMY B DAVIS MD

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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	18218	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1184755308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY B DAVIS MD

Provider Business Mailing Address
First Line	:	401 ALCORN DR
Second Line	:	STE 2C
City	:	CORINTH
State	:	MS
Zip	:	38834-9073
Country	:	US
Telephone Number	:	662-286-0088
Fax Number	:	662-286-0067

Provider Business Practice Location Address
First Line	:	121 PRATT DR STE 1A
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-6026
Country	:	US
Telephone Number	:	662-286-0088
Fax Number	:	662-286-0067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	01/17/2018

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Directions to “ AMY B DAVIS MD” Practice Location

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