Individual provider · Type 1 NPI

John Clayton Davidson I, MD

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1871235994 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

904 Montrose Dr
Ridgeland, MS 39157-1393

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1871235994

John Clayton Davidson I, MD's National Provider Identifier is 1871235994, issued on Apr 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Apr 9, 2022.