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Contact Information

STANITIA W DAVIS, DPM
953 NORTH ST
SUITE A
JACKSON, MS39202-2615
 Phone: 601-366-0026
 Fax: 601-366-0069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STANITIA W DAVIS · (Female)

NPI Number 1942463567
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/03/2008
Last updated 07/12/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 80207
Hospital affiliation(s)
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
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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