Davis, Lee Andrew

Davis, Lee Andrew is an individual health care provider with primary practice located at 7500 Dollarway Rd Suite 301, White Hall AR 71602-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Davis, Lee Andrew can be contacted via phone (870) 850-0800.

Contact Information

Primary practice address
7500 Dollarway Rd Suite 301 White Hall AR 71602-3027
Phone: (870) 850-0800
Fax: (870) 850-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X E1966 Arkansas

Profile Details

NPI number 1144269978
LBN Legal business name Davis, Lee Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 24th, 2015 - about 11 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 1144269978 NPPES
Arkansas MEDICAID 150107002

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