DR. Dereck Davis
NPI #1174567580 in Jackson, Mississippi
Provider Information
- NPI Number
- 1174567580
- Entity Type
- Individual
- Name
- DR. Dereck Davis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Aug 11, 2014
Practice Location
- Address
- 2600 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4301
- Phone
- (601) 984-5220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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