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Contact Information

CLIFTON H DAVIS, P.A.-C
3688 VETERANS MEMORIAL DR
SUITE 200
HATTIESBURG, MS39401-8246
 Phone: 601-554-7400
 Fax: 601-554-7488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CLIFTON H DAVIS · (Male)

NPI # 1083647960
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 07/07/2006
Last updated 12/23/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MS License # PA021
  • MS Medicaid 01802226
Hospital affiliation(s)
  • FORREST GENERAL HOSPITAL - (Acute Care)
    6051 US HIGHWAY 49
    HATTIESBURG, MS 39404
  • WESLEY MEDICAL CENTER - (Acute Care)
    5001 W HARDY ST
    HATTIESBURG, MS 39402
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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