Davidson, James R

Davidson, James R is an individual health care provider with primary practice located at 1665 S Green St , Tupelo MS 38804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davidson, James R can be contacted via phone (662) 377-2189.

Contact Information

Primary practice address
1665 S Green St Tupelo MS 38804
Phone: (662) 377-2189
Fax: (662) 377-2667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-11306 Arkansas

Profile Details

NPI number 1801277959
LBN Legal business name Davidson, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated May 29th, 2018 - about 8 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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