Davis, Woody D.
Davis, Woody D. is an sole proprietor health care provider with primary practice located at 5002 Highway 39 N Bldg. B, Meridian MS 39301-1078. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, Woody D. can be contacted via phone (601) 483-7331.Contact Information
Primary practice address
5002 Highway 39 N Bldg. B
Meridian MS 39301-1078
Phone: (601) 483-7331
Fax: (601) 483-3721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 05260 | Mississippi |
Profile Details
| NPI number | 1154423804 |
|---|---|
| LBN Legal business name | Davis, Woody D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154423804 | NPPES |
| Alabama | MEDICAID | 8525 | |
| Alabama | MEDICAID | 13247 |
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