Individual
TAMEKA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 SHORT ST, CRAWFORD, MS 39743
(662) 346-6574
(662) 272-9522
Mailing address
PO BOX 482, CRAWFORD, MS 39743-0482
(662) 346-6574
(662) 272-9522
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
800822870
MS
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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