# A.C. DAVIS M.D. A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174926315
- **Authorized official:** MS. ANNA CHRISTINE DAVIS M.D. (PRESIDENT)
- **Authorized official phone:** (985) 951-7882

## Contact information

- **Practice address:** 69164 HIGHWAY 59, SUITE 1, MANDEVILLE, LA 70471-7782
- **Practice address phone:** (985) 951-7882
- **Practice address fax:** (985) 327-7873
- **Mailing address:** PO BOX 386, MANDEVILLE, LA 70470-0386
- **Mailing address phone:** (985) 951-7882
- **Mailing address fax:** (985) 327-7873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 013663 | LA | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 10/02/2014