Individual
WOODY D. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5002 HIGHWAY 39 N, BLDG. B, MERIDIAN, MS 39301-1078
(601) 483-7331
(601) 483-3721
Mailing address
408 WINDOVER CIR, MERIDIAN, MS 39305-2023
(601) 483-4338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05260
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13247
—
MS
05
—
8525
—
AL
Enumeration date
09/02/2006
Last updated
07/08/2007
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