Individual
LELAND DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-5252
Mailing address
705 JAMESTOWN DR, GULF BREEZE, FL 32561-4506
(850) 485-0180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1406
NH
Other
Enumeration date
05/21/2018
Last updated
10/04/2018
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