Brandy Davis MD P A
Family Medicine in Forrest City, AR. Organization (NPI-2).
NPI number1205869724
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1205869724
- Entity type
- Organization (NPI-2)
- Legal business name
- Brandy Davis MD P A
- Organization subpart
- No
- Enumeration date
- Jul 8, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
904 Holiday DrSuite 406
Forrest City, AR 72335-9183
Phone 870-494-4000 · Fax 870-494-4033
Mailing address
904 Holiday DrSuite 406
Forrest City, AR 72335-9183
Phone 870-494-4000 · Fax 870-494-4033
Authorized official
Brandy Alexis Davis
President
8704944000
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