Individual
MR. NEIL ANDREW DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3208 SERVICE DR., SUITE E, PEARL, MS 39208
(601) 664-2044
(601) 664-3044
Mailing address
3208 SERVICE DR., SUITE E, PEARL, MS 39208
(601) 664-2044
(601) 664-3044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3639
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7512579
AETNA
MS
Enumeration date
09/28/2006
Last updated
07/08/2007
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