Brandy Alexis Davis, M.D.
Family Medicine in Forrest City, AR. Individual provider (NPI-1).
NPI number1629027313
StatusActive
Last updated in NPPESFeb 14, 2011
Details
- NPI
- 1629027313
- Entity type
- Individual (NPI-1)
- Name
- Brandy Alexis Davis
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2006
- Last updated
- Feb 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E-4147 | AR | Yes |
| 207Q00000X | Family Medicine | 37651 | TN |
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
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