Individual
DOUGLAS W DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12525 PERKINS ROAD, SUITE B, BATON ROUGE, LA 70810
(225) 819-8857
(225) 767-6822
Mailing address
7777 HENNESSY BLVD, SUITE 1004 154, BATON ROUGE, LA 70808
(225) 214-9352
(225) 214-9349
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
010156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098299
—
LA
01
—
P00392505
RRM
LA
Enumeration date
10/04/2006
Last updated
09/03/2009
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