Individual
CATHERINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.S.A.
Contact information
Practice address
1860 CHADWICK DR, JACKSON, MS 39204-3463
(601) 376-2999
Mailing address
7 RIVERVIEW CV, BYRAM, MS 39272-9106
(601) 373-7175
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3027
MS
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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