Davis, John Robert

Davis, John Robert is an individual health care provider with primary practice located at 815 Childs St , Corinth MS 38834-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Davis, John Robert can be contacted via phone (662) 286-3341.

Contact Information

Primary practice address
815 Childs St Corinth MS 38834-4934
Phone: (662) 286-3341
Fax: (662) 286-9827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 05258 Mississippi

Profile Details

NPI number 1700871340
LBN Legal business name Davis, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 4th, 2010 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700871340 NPPES
Mississippi MEDICAID 00012610

Popular Providers