Individual
DR. JOHN D DAVIS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(601) 936-0400
(601) 936-0401
Mailing address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(877) 554-4257
(601) 983-2845
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
16339
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126895
—
MS
01
—
140007830
RAILROAD MEDICARE
MS
01
—
5385608
AETNA
MS
01
—
630027
UHC
MS
Enumeration date
05/25/2006
Last updated
10/07/2009
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