Davis, Derek Gavin

Davis, Derek Gavin is an individual health care provider with primary practice located at 215 Marion Ave , Mccomb MS 39648-2705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Davis, Derek Gavin can be contacted via phone (601) 249-5500.

Contact Information

Primary practice address
215 Marion Ave Mccomb MS 39648-2705
Phone: (601) 249-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R873427 Mississippi

Profile Details

NPI number 1952563041
LBN Legal business name Davis, Derek Gavin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Jun 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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