Individual
TAMMY SIMS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1190 N STATE ST, SUITE 502, JACKSON, MS 39202-2413
(601) 944-1781
(601) 353-0439
Mailing address
1190 N STATE ST, SUITE 502, JACKSON, MS 39202-2413
(601) 944-1781
(601) 353-0439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00264
MS
363AS0400X
Surgical Physician Assistant
PA00264
MS
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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