Individual
MR. JOHN J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
3688 VETERANS MEMORIAL DR, HATTIESBURG, MS 39401-8246
(601) 543-0221
Mailing address
3688 VETERANS MEMORIAL DR, HATTIESBURG, MS 39401-8246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0069
MS
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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