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
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 80207 (MS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Jackson
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.