Individual
GREGORY WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
2121 AIRLINE DR # 600, BOSSIER CITY, LA 71111-3174
(318) 742-3525
(318) 742-3539
Mailing address
5750 JOHNSTON ST STE 502, LAFAYETTE, LA 70503-5334
(337) 704-2228
(337) 704-2240
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1315
LA
237700000X
Hearing Instrument Specialist
HA0676
MS
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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