NPI 1558778936
Willie Davis, RKT
Practice location
- Address
- 701 Duke Ave., Hattiesbiurg, MS 39401
- Phone
- (601) 550-1164
- Mailing address
- 701 Duke Ave, Hattiesburg, MS 39401-4060
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1558778936
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jul 2014
- Record last updated
- 17 Jul 2014
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.