Individual
STEPHEN T MCDAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 818-1158
(228) 762-3147
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17316
MS
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
17316
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000125627
—
MS
Enumeration date
06/08/2006
Last updated
02/03/2022
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