Individual
MR. JASON TAYLOR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Mailing address
8147 DAVID NEWELL RD, MERIDIAN, MS 39305-9431
(601) 917-5801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0182
MS
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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