Individual
TIMOTHY G. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
116 E COMMERCE ST, HERNANDO, MS 38632-2302
(662) 469-6000
Mailing address
429 E COMMERCE ST, PMB 116, HERNANDO, MS 38632-2348
(662) 469-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
888378
MS
Other
Enumeration date
09/03/2014
Last updated
09/04/2024
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