Individual
ANNA CHRISTINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
69164 HIGHWAY 59, SUITE 2, MANDEVILLE, LA 70471-7782
(985) 951-7882
(985) 951-7721
Mailing address
PO BOX 386, MANDEVILLE, LA 70470-0386
(985) 951-7882
(985) 951-7721
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
013663
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185116
—
LA
Enumeration date
11/16/2006
Last updated
10/01/2014
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