Individual
MR. GREGORY ACTON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 WOODWARD PL, OXFORD, MS 38655-4539
(662) 772-1524
Mailing address
103 WOODWARD PLACE, OXFORD, MS 38655-8636
(662) 772-1524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
W5676
MS
1041C0700X
Clinical Social Worker
Primary
W5676
MS
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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