Individual
DAVIS MCKENNA SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
80260
AL
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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