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Individual

SARA LEANNE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
230 POSSUM RIDGE RD, HOLLANDALE, MS 38748-3755
(662) 822-6238
Mailing address
PO BOX 122, AVON, MS 38723-0122

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
904124
MS

Other

Enumeration date
09/06/2020
Last updated
09/06/2020
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