Individual
JEREMY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
11321 INTERSTATE 30, SUITE 104, LITTLE ROCK, AR 72209-7040
(501) 315-3344
Mailing address
11321 INTERSTATE 30, SUITE 104, LITTLE ROCK, AR 72209-7040
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
01/13/2011
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