Davis, Lamar

Davis, Lamar is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Davis, Lamar can be contacted via phone (601) 984-5275.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216
Phone: (601) 984-5275
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 20797 Mississippi
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 307056 Louisiana

Profile Details

NPI number 1003006206
LBN Legal business name Davis, Lamar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Apr 23rd, 2019 - about 5 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 1003006206 NPPES
Mississippi MEDICAID 03122859

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