Individual
DR. JOHN ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 CHILDS ST, CORINTH, MS 38834-4934
(662) 286-3341
(662) 286-9827
Mailing address
815 CHILDS ST, CORINTH, MS 38834-4934
(662) 286-3341
(662) 286-9827
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
05258
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012610
—
MS
Enumeration date
09/20/2005
Last updated
08/04/2010
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