Individual provider · Type 1 NPI

Stanitia W. Davis, D.P.M.

Foot & Ankle Surgery Podiatrist · Jackson, MS

NPI number 1942463567 Active

Practice location

953 North St, Suite A
Jackson, MS 39202-2615

Fax (601) 366-0069

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X80207 (MS)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1942463567

Stanitia W. Davis, D.P.M.'s National Provider Identifier is 1942463567, issued on Jul 3, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Jackson, MS. The record was last updated on Jul 12, 2016.