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NPI Code Detail

MEDICARE: DR. DONALD S DAVIS M.D.

MEDICARE: DR. DONALD S DAVIS M.D.
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
1174400000XSpecialist05257MS

General Provider Information

NPI Number : 1306819297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD S DAVIS M.D.
Provider Business Mailing Address
First Line : 5002 HWY 39 N
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-1078
Country : US
Telephone Number : 601-485-8115
Fax Number : 601-485-3089
Provider Business Practice Location Address
First Line : 5002 HWY 39 N
Second Line : BLDG A
City : MERIDIAN
State : MS
Zip : 39301-1078
Country : US
Telephone Number : 601-485-8115
Fax Number : 601-485-3089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DONALD S DAVIS M.D.” Practice Location

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