Davis, Ronald D

Davis, Ronald D is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 360, Jackson MS 39216-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davis, Ronald D can be contacted via phone (601) 200-4370.

Contact Information

Primary practice address
971 Lakeland Dr Suite 360 Jackson MS 39216-4643
Phone: (601) 200-4370
Fax: (601) 200-4375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 11495 Mississippi

Profile Details

NPI number 1255351367
LBN Legal business name Davis, Ronald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 27th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255351367 NPPES
Mississippi MEDICAID 00110269

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