Paul W Davis Md Pa

LBN: Paul W Davis Md Pa
Paul W Davis Md Pa is an health care organization with primary practice located at 4747 Dusty Lake Dr Ste G1, Pine Bluff AR 71603-9056. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Paul W Davis Md Pa can be contacted via phone (870) 879-6791, or through Harmon, Sandra Kay via phone (870) 879-6791.

Contact Information

Primary practice address
4747 Dusty Lake Dr Ste G1 Pine Bluff AR 71603-9056
Phone: (870) 879-6791
Fax: (870) 879-4476
Website:
Map and Directions
Authorized official contact:
Name: Harmon, Sandra Kay
Phone: (870) 879-6791

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1518922632
LBN Legal business name Paul W Davis Md Pa
DBA Doing business as
Authorized official Harmon, Sandra Kay
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 31st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518922632 NPPES
Arkansas MEDICAID 111582002

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