Clifton H Davis is a Medical in Hattiesburg, Mississippi. Clifton H Davis practices all healthcare services and medical treatments related to Medical. The NPI Number for Clifton H Davis is 1083647960. The last update date is 2009-12-23.
Clifton H Davis's current location address is 3688 Veterans Memorial Dr, Hattiesburg, Mississippi. You can contact this provider via phone number 6015547400 and fax number 6015547488. The mailing address for Clifton H Davis is 3688 Veterans Memorial Dr, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifton H Davis |
|---|---|
| Address | 3688 Veterans Memorial Dr, Hattiesburg, Mississippi |
| Phone Number | 6015547400 |
| Fax Number | 6015547488 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1083647960 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2009-12-23 |
Provider Mailing Address Detail
| Address | 3688 Veterans Memorial Dr |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394018246 |
| Phone Number | 6015547400 |
| Fax Number | 6015547488 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA021 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1802226 | MS | -- |
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What is the unique identifier code issued to Clifton H Davis by the Centers for Medicare & Medicaid Services (CMS)?
The Clifton H Davis has been assigned the NPI (National Provider Identifier) 1083647960. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Clifton H Davis located?
The Clifton H Davis is located at 3688 Veterans Memorial Dr, Hattiesburg, MS 394018246.
What is Clifton H Davis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clifton H Davis is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date was the 1083647960 assigned to Clifton H Davis?
The Clifton H Davis was issued its 1083647960 on 2006-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clifton H Davis most recently updated?
The details pertaining to the Clifton H Davis, including its address, specialty, and other relevant information, were last refreshed on 2009-12-23.