NPI 1295120905

Carlene Davis

Practitioner Contractor Meridian, MS

Practice location

Address: 2104 24th Ave, Meridian, MS 39301-2135
Phone: (601) 678-1041
Fax: (601) 553-2970

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1295120905
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2015
Record last updated: 30 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.