Individual
PAMELA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
122 AIRWAYS PL, SOUTHAVEN, MS 38671-5872
(662) 349-9990
(662) 349-2620
Mailing address
122 AIRWAYS PL, SOUTHAVEN, MS 38671-5872
(662) 349-9990
(662) 349-2620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00099
MS
363A00000X
Physician Assistant
Primary
PA0818
TN
Other
Enumeration date
08/11/2006
Last updated
09/08/2011
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