Individual
JONATHAN EDGAR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.F.A.
Contact information
Practice address
1201 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 234-1448
(662) 234-5910
Mailing address
PO BOX 1013, OXFORD, MS 38655-1013
(662) 234-1448
(662) 234-5910
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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