Individual
DR. JOHNATHAN NATHANAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
14211 LONGWOOD CIR, DIBERVILLE, MS 39540-7827
(228) 627-9777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28220
MS
Other
Enumeration date
04/05/2019
Last updated
06/08/2022
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