Organization
DM AND C
Active
Other names
DAVIN R. LUNDQUIST, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVIN R LUNDQUIST M.D. (PRESIDENT)
(601) 849-1236
Entity
Organization
Contact information
Practice address
376A SIMPSON HIGHWAY 149, MAGEE, MS 39111-3409
(601) 849-1236
(601) 849-1240
Mailing address
376A SIMPSON HIGHWAY 149, MAGEE, MS 39111-3409
(601) 849-1236
(601) 849-1240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19085
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03505561
—
MS
Enumeration date
09/22/2006
Last updated
04/02/2008
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