Jonathan Edgar Davis, C.S.F.A.
Specialist/Technologist, Other, Surgical Assistant in Oxford, MS. Individual provider (NPI-1).
NPI number1982258265
StatusActive
Last updated in NPPESJul 25, 2019
Details
- NPI
- 1982258265
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Edgar Davis
- Credential
- C.S.F.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2019
- Last updated
- Jul 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
Practice location
1201 Medical Park DrOxford, MS 38655-5327
Phone 662-234-1448 · Fax 662-234-5910
Mailing address
Po Box 1013Oxford, MS 38655-1013
Phone 662-234-1448 · Fax 662-234-5910
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