NPI 1689131286

Mary K Davis

Practitioner Driver Cabot, AR

Practice location

Address: 2792 S 2nd St, Cabot, AR 72023-7020
Phone: (501) 268-3400
Mailing address: 1900 Stillwater Dr, Jonesboro, AR 72404-9119

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 919182797 (AR)

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Registry record

NPI: 1689131286
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2019
Record last updated: 1 Mar 2019

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.