Individual
DR. MICHELLE MIREILLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4224 HOUMA BLVD STE 350, METAIRIE, LA 70006-2980
(504) 780-9112
(314) 536-8784
Mailing address
4224 HOUMA BLVD STE 350, METAIRIE, LA 70006-2980
(504) 780-9112
(314) 546-8784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14461R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123684
—
LA
Enumeration date
02/01/2006
Last updated
05/19/2019
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