Michael L Davis M.D., P.A.

LBN: Michael L Davis M.D., P.A.
Michael L Davis M.D., P.A. is an health care organization with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Michael L Davis M.D., P.A. can be contacted via phone (601) 630-9755, or through Davis, Michael Lee via phone (601) 630-9755.

Contact Information

Primary practice address
2100 Highway 61 N Vicksburg MS 39183-8211
Phone: (601) 630-9755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Michael Lee Doctor of Medicine (MD)
Phone: (601) 630-9755

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 08327 Mississippi

Profile Details

NPI number 1891945234
LBN Legal business name Michael L Davis M.D., P.A.
DBA Doing business as
Authorized official Davis, Michael Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Jan 27th, 2009 - about 17 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 1891945234 NPPES
Louisiana MEDICAID 1319422
Louisiana MEDICAID 09455302

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