NPI 1942463567

Stanitia W. Davis, DPM

Practitioner Foot & Ankle Surgery Podiatrist Jackson, MS

Practice location

Address: 953 North St Suite a, Jackson, MS 39202-2615
Phone: (601) 366-0026
Fax: (601) 366-0069

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 80207 (MS)

Other Podiatrist providers in Mississippi →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Mississippi →

Registry record

NPI: 1942463567
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2008
Record last updated: 12 Jul 2016

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.