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NPI Profile for JOSEPH C DAVIS in SHREVEPORT, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Rehabilitation Practitioner |
225400000X |
| NPI Number | 1093940017 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/19/2009 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOSEPH C DAVIS
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JOSEPH C DAVIS