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Individual

CHAD JOSEPH DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
2749 OAK GROVE RD, HATTIESBURG, MS 39402-8904
(601) 606-9433
Mailing address
2749 OAK GROVE RD, HATTIESBURG, MS 39402-8905
(601) 606-9433

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/27/2006
Last updated
07/08/2007
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