De' Andra Destheenia Davis, M.D.

NPI #1225307184 in Greenville, Kentucky

Provider Information

NPI Number: 1225307184
Entity Type: Individual
Name: De' Andra Destheenia Davis, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Dec 22, 2011
Last Updated: Dec 20, 2019

Practice Location

Address: 504 HOPKINSVILLE ST
City: Greenville
State: Kentucky
ZIP Code: 42345-1104
Phone: (270) 338-6488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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