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Contact Information

JONATHAN L DAVIS, MD
3215 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR72703
 Phone: 479-463-7102
 Fax: 479-463-7864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN L DAVIS · (Male)

NPI Number 1679556880
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2005
Last updated 05/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-2690
  • TX License # L1828
  • TX Medicaid 047338101
Hospital affiliation(s)
  • WASHINGTON REGIONAL MED CTR AT NORTH HILLS - (Acute Care)
    3215 N NORTH HILLS BLVD
    FAYETTEVILLE, AR 72703
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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