# PAUL W DAVIS MD PA

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

## Provider details

- **NPI number:** 1518922632
- **Authorized official:** MRS. SANDRA KAY HARMON (OFFICE MANAGER)
- **Authorized official phone:** (870) 879-6791

## Contact information

- **Practice address:** 4747 DUSTY LAKE DR, STE G1, PINE BLUFF, AR 71603-9056
- **Practice address phone:** (870) 879-6791
- **Practice address fax:** (870) 879-4476
- **Mailing address:** PO BOX 1225, PINE BLUFF, AR 71613-1225
- **Mailing address phone:** (870) 879-6791
- **Mailing address fax:** (870) 879-4476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 01/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111582002 | — | AR |