Organization
JAY TOMES DAVIS, MD, OBSTETRICS & GYNECOLOGY PSC
Active
Other names
Jay T. Davis, M.D., PSC
Organization subpart
No
Provider details
NPI number
Authorized official
JAY T. DAVIS MD (PRESIDENT)
(270) 843-5133
Entity
Organization
Contact information
Practice address
546 PARK STREET, SUITE 200, BOWLING GREEN, KY 42101-1780
(270) 843-5133
(270) 843-5028
Mailing address
546 PARK STREET, SUITE 200, BOWLING GREEN, KY 42101-1780
(270) 843-5133
(270) 843-5028
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25834
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062935
ANTHEM BLUE SHIELD
KY
Enumeration date
01/03/2007
Last updated
08/16/2012
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