Individual
ERIC G DAVIS
Active
Individual
ERIC G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
40623
KY
208600000X
Surgery Physician
40623
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200859990
MEDICAID PASSPORT
IN
01
—
50014590
MEDICAID PASSPORT
KY
05
—
64130503
—
KY
Enumeration date
12/26/2006
Last updated
03/03/2026
Update your record
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