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EDNA F DAVIS MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1003829680

Individual Registrant:
 EDNA F DAVIS MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2007 OAK TREE COVE SUITE 201 HERNANDO, MS 38632 US
Tel: 662-429-8802  Fax: 662-429-8698

Contact information for business:
2007 OAK TREE COVE SUITE 201 HERNANDO, MS 38632 US
Tel: 662-429-8802  Fax: 662-429-8698

Registration Information:
NPI: 1003829680
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MSM14539

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
07288289MS05




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