Individual
MRS. HANNAH MCKEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2709 MACKEY LANE, SHREVEPORT, LA 71118
(318) 505-7626
Mailing address
166 CORRINE PL, WASKOM, TX 75692
(318) 376-7962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
338908
LA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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