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Contact Information

MARVETTA DAVIS
281 WEST 4TH STREET
INDEPENDENCE, LA70443
 Phone: 985-878-0066
 Fax: 985-878-0969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARVETTA DAVIS · (Female)

NPI Number 1760520415
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 12365R
  • LA Medicaid 1697761
Hospital affiliation(s) Not Available
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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