Individual
LAMAR DAVIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216
(601) 984-5275
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4505
(601) 984-5275
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
20797
MS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
307056
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03122859
—
MS
Enumeration date
07/25/2007
Last updated
04/23/2019
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